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1275067365
GULFSIDE DENTAL - OLD TOWN PLLC
BEAUMONT, TX
NPI
1275067365
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Entity Type
Organization
Authorized Contact
MARY PU
VP Of Finance
972-869-3789
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2017-04-14
Last Update Date
2017-04-14
Business Address
GULFSIDE DENTAL - OLD TOWN PLLC
2474 BROADWAY ST
BEAUMONT, TX 77702-1904
Phone number: 972-869-3789
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Mailing Address
GULFSIDE DENTAL - OLD TOWN PLLC
2403 LACY LN
CARROLLTON, TX 75006-6514
Phone number: 972-869-3789
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