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Individual
DR. NATHAN EDWARD BEAM
Active
Individual
DR. NATHAN EDWARD BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3875
WV
1223E0200X
Endodontics
Primary
7144
SC
1223E0200X
Endodontics
9190
NC
Other
Enumeration date
06/24/2009
Last updated
01/22/2013
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