| NPI | 1346767514 |
|---|---|
| Doing Business As | BEAUMONT SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CERVANTES Regional Manager 760-617-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |