John Beack Dmd Ps

NPI #1295083632 in Kent, Washington

Provider Information

NPI Number
1295083632
Entity Type
Organization
Organization Name
John Beack Dmd Ps
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 15, 2012
Last Updated
Aug 15, 2012

Practice Location

Address
13210 SE 240TH ST
Address 2
SUITE B1
City
Kent
ZIP Code
98042-5182
Phone
(253) 631-8490

Authorized Official

Name
JOHN BEACK
Title
PRESIDENT
Phone
(425) 999-2402

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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