Organization
BEAU MCKENZIE SOARES D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU MCKENZIE SOARES D.D.S. (PRESIDENT)
(714) 974-5906
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD, SUITE 222, ANAHEIM, CA 92807-4780
(714) 974-5906
(714) 974-5982
Mailing address
500 S ANAHEIM HILLS RD, SUITE 222, ANAHEIM, CA 92807-4780
(714) 974-5906
(714) 974-5982
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
56076
CA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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