Individual
MRS. KELLI BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHEP
Contact information
Practice address
1075 SE BELLE AIRE DR, GRANTS PASS, OR 97526-3270
(541) 660-8283
Mailing address
1075 SE BELLE AIRE DR, GRANTS PASS, OR 97526-3270
(541) 660-8283
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3237
OR
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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