Individual
HARRION ALEXANDER BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3434 ATLANTIC BLVD STE 7, JACKSONVILLE, FL 32207-2076
(904) 396-1758
(904) 396-4924
Mailing address
3434 ATLANTIC BLVD STE 7, JACKSONVILLE, FL 32207-2076
(904) 396-1758
(904) 396-4924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15261
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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