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Individual

DR. EDWARD R BEACHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
22109 JEFFERSON BLVD, SMITHSBURG, MD 21783-2059
(301) 824-5111
(301) 714-0150
Mailing address
11906 INDIAN LN, HAGERSTOWN, MD 21742-4204
(301) 733-2217
(301) 393-9289

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08172
MD

Other

Enumeration date
06/20/2007
Last updated
07/08/2007
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