Individual
DR. GARY W BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 HIGH HOUSE RD, SUITE 200, CARY, NC 27513-4278
(919) 467-7717
Mailing address
224 HIGH HOUSE ROAD, SUITE 200, CARY, NC 27513-4278
(919) 467-7717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5264
NC
Other
Enumeration date
07/26/2006
Last updated
11/25/2015
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