Kevin Charles Beyersdorfer, DDS

NPI #1295814002 in O Fallon, Illinois

Provider Information

NPI Number
1295814002
Entity Type
Individual
Name
Kevin Charles Beyersdorfer, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Nov 3, 2006
Last Updated
Jun 11, 2008

Practice Location

Address
4945 STONE FALLS CENTER
Address 2
STE B
ZIP Code
62269-7802
Phone
(618) 622-0212

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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