| NPI | 1124896220 |
|---|---|
| Doing Business As | BEACON ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | TED MICHAEL BEAUCHAMP Doctor/Owner 636-487-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |