Individual
MR. ROBERT CHARLES BEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2860 S SENECA, SUITE A, WICHITA, KS 67217
(316) 522-4719
(316) 522-3398
Mailing address
2860 S SENECA, SUITE A, WICHITA, KS 67217
(316) 522-4719
(316) 522-3398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4306
KS
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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