DR. Michael James Beauregard, D.D.S.
NPI #1831427731 in Independence, Missouri
Provider Information
- NPI Number
- 1831427731
- Entity Type
- Individual
- Name
- DR. Michael James Beauregard, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Dec 3, 2009
- Last Updated
- Dec 3, 2009
Practice Location
- Address
- 11105 E WINNER RD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64052-3837
- Phone
- (816) 252-6393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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