DR. Rex Beasom Painter, DDS

NPI #1720284698 in St Augustine, Florida

Provider Information

NPI Number
1720284698
Entity Type
Individual
Name
DR. Rex Beasom Painter, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
10 DOLPHIN DR
State
Florida
ZIP Code
32080-4531
Phone
(904) 824-8652

Specialties & Taxonomy Codes

Specialty
Dentist

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