| NPI | 1336826882 |
|---|---|
| Doing Business As | BEAM ST JC |
| Entity Type | Organization |
| Authorized Contact | HASSAN M KHAN Owner 201-509-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |