| 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 |