DR. Mark Heber Beazer, D.M.D
NPI #1699966952 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1699966952
- Entity Type
- Individual
- Name
- DR. Mark Heber Beazer, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Nov 23, 2022
Practice Location
- Address
- 6466 MAIN ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-8520
- Phone
- (208) 267-7571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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