Individual
JOHN ROBERT BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
960 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 898-2901
Mailing address
960 LAKE BALDWIN LN, ORLANDO, FL 32814-6651
(407) 898-2901
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 10011768
FL
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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