Individual
DR. GARY MICHAEL BEAUDREAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4250 WASHINGTON RD, EVANS, GA 30809-3087
(706) 860-3200
Mailing address
4250 WASHINGTON RD, PO BOX 440, EVANS, GA 30809-3087
(706) 860-3200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D09998
GA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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