Kenneth C Beal JR., D.D.S.
NPI #1649463977 in Indianola, Mississippi
Provider Information
- NPI Number
- 1649463977
- Entity Type
- Individual
- Name
- Kenneth C Beal JR., D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Aug 21, 2007
Practice Location
- Address
- 913 B.B. KING ROAD
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751
- Phone
- (662) 887-4814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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