NPI | 1417209008 |
---|---|
Doing Business As | BEASLEY COSMETIC & GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROBERT BRAD BEASLEY Owner 256-233-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4761) |
Enumeration Date | 2012-10-08 |
Last Update Date | 2013-02-27 |