DR. Beau Upshaw, D.M.D.
NPI #1578976098 in Loganville, Georgia
Provider Information
- NPI Number
- 1578976098
- Entity Type
- Individual
- Name
- DR. Beau Upshaw, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 3, 2014
- Last Updated
- Oct 28, 2014
Practice Location
- Address
- 3238 KRISAM CREEK DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-7942
- Phone
- (770) 466-0474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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