Individual
CHARLES G BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11400 158TH RD, MAYETTA, KS 66509
(785) 966-8290
Mailing address
11400 158TH RD, MAYETTA, KS 66509-8866
(785) 966-8290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61195
KS
Other
Enumeration date
06/14/2016
Last updated
05/05/2019
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