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Individual

DR. KATHLEEN J BEAZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1031 US HIGHWAY 41 BYP S, VENICE, FL 34285-4343
(941) 484-6817
(941) 484-9142
Mailing address
1031 US HIGHWAY 41 BYP S, VENICE, FL 34285-4343
(941) 484-6817
(941) 484-9142

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18809
FL

Other

Enumeration date
08/10/2009
Last updated
08/10/2009
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