| Beaumont Smiles Dental Group | |
|
1620 2nd Street Marketplace Suite A Beaumont CA 92223 | |
| (951) 769-9131 | |
| Not Available |
| Full Name | Beaumont Smiles Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1620 2nd Street Marketplace, Beaumont, California |
| Authorized Official Name and Position | Andrea Moore (OWNER DOCTOR) |
| Authorized Official Contact | 9517699131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Smiles Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 368-2084 | Beaumont Smiles Dental Group 1620 2nd Street Marketplace Suite A Beaumont CA 92223 Ph: (951) 769-9131 |
| NPI Number | 1174774699 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 10/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174774699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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