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Organization
PHILLIP D. BEAVER, DDS, PA
Active
Organization
PHILLIP D. BEAVER, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP DANIEL BEAVER D.D.S. (PRESIDENT)
(704) 872-8934
Entity
Organization
Contact information
Practice address
1209 DAVIE AVE, STATESVILLE, NC 28677-3511
(704) 872-8934
Mailing address
1209 DAVIE AVE, STATESVILLE, NC 28677-3511
(704) 872-8934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8056
NC
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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