BEAU UPSHAW

LOGANVILLE, GA
NPI1578976098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN014781)
Enumeration Date2014-06-03
Last Update Date2014-10-28
Business Address
Dr. BEAU UPSHAW D.M.D.
3238 KRISAM CREEK DR
LOGANVILLE, GA 30052-7942
Phone number: 770-466-0474
Mailing Address
Dr. BEAU UPSHAW D.M.D.
3238 KRISAM CREEK DR
LOGANVILLE, GA 30052-7942
Phone number:
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