R BEAVERS, DDS

Dentist - General Practice

Active Individual
NPI: 1972536761

Practice Address

403 LOCUST
Carrollton, IL 62016

Phone: (217) 942-6964

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 19015623 (IL)

Frequently Asked Questions

NPI 1972536761 is the National Provider Identifier for R BEAVERS, DDS, a Dentist - General Practice provider located in Carrollton, IL. This NPI was enumerated on July 8, 2006.
R BEAVERS, DDS practices at 403 LOCUST, Carrollton, IL 62016.

Quick Facts

NPI
1972536761
Type
Individual
Enumerated
Jul 8, 2006
Last Updated
Jul 8, 2007

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