Organization
JOHN BEACK DMD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BEACK (PRESIDENT)
(425) 999-2402
Entity
Organization
Contact information
Practice address
13210 SE 240TH ST, SUITE B1, KENT, WA 98042-5182
(253) 631-8490
Mailing address
13210 SE 240TH ST, SUITE B1, KENT, WA 98042-5182
(253) 631-8490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00010948
WA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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