Douglas James Beazer, D.M.D.

NPI #1194953588 in Bonners Ferry, Idaho

Provider Information

NPI Number
1194953588
Entity Type
Individual
Name
Douglas James Beazer, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Jun 24, 2009
Last Updated
Jun 24, 2009

Practice Location

Address
6526 MAIN ST
State
Idaho
ZIP Code
83805-8521
Phone
(208) 267-7509

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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