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Individual

DR. CHARLES BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.,MS.

Contact information

Practice address
204 S CLAY AVE, KIRKWOOD, MO 63122-4207
(314) 965-3555
(314) 725-7235
Mailing address
204 S CLAY AVE, KIRKWOOD, MO 63122-4207
(314) 965-3555
(314) 725-7235

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011135
MO

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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