Individual
BARRY ROBERT BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
342 W SAINT CLAIR ST, MARINE CITY, MI 48039-3544
(810) 765-9200
(810) 765-6460
Mailing address
2162 HUNTERS PARK E, SAINT CLAIR, MI 48079-4013
(810) 329-5211
(810) 765-6460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015117
MI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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