Organization
OAKWOOD ORAL AND MAXILLOFACIAL SURGERY, CHRISTOPHER N. BEALE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI BITTLE (OFFICE MANAGER)
(419) 756-0711
Entity
Organization
Contact information
Practice address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-0711
(419) 756-4886
Mailing address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-0711
(419) 756-4886
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250095
—
OH
Enumeration date
03/22/2018
Last updated
03/22/2018
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