Individual
DR. CHRIS C BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1185 CAPITOL ST STE 104, EAGLE, CO 81631-5000
(970) 328-5268
(970) 328-5267
Mailing address
PO BOX 5499, 1185 CAPITOL ST. SUITE 104, EAGLE, CO 81631-5499
(970) 328-5268
(970) 328-5267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
54859
CA
122300000X
Dentist
Primary
9677
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972871051
FACILITY NPI
CO
Enumeration date
09/26/2008
Last updated
02/26/2013
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