Individual
DR. JOHN G BEACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13210 SE 240TH ST. SUITE B-1, KENT, WA 98042
(253) 631-8490
(253) 639-3929
Mailing address
13210 SE 240TH ST. SUITE B-1, KENT, WA 98042
(253) 631-8490
(253) 639-3929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010948
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205681
—
MA
Enumeration date
10/27/2006
Last updated
02/11/2022
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