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Individual
ANDREW LOREN BETAHARON
Active
Individual
ANDREW LOREN BETAHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412823
VA
1223G0001X
General Practice Dentistry
Primary
14644
MD
Other
Enumeration date
06/30/2009
Last updated
03/18/2016
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