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Individual

DR. MARK HENRY BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8159 RAEFORD RD, FAYETTEVILLE, NC 28304-5981
(910) 826-4900
Mailing address
8159 RAEFORD RD, FAYETTEVILLE, NC 28304-5981
(910) 826-4900

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6753
NC

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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