Organization
JOHN D BEALS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID BEALS DDS (PRESIDENT/OWNER)
(541) 548-5105
Entity
Organization
Contact information
Practice address
646 SW RIMROCK DR, REDMOND, OR 97756-1937
(541) 548-5105
(541) 548-0147
Mailing address
646 SW RIMROCK DR, REDMOND, OR 97756-1937
(541) 548-5105
(541) 548-0147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5117
OR
Other
Enumeration date
09/20/2005
Last updated
08/22/2020
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