Individual
MR. ERIC E BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDT
Contact information
Practice address
2094 RICHARD ST, PRESCOTT, AZ 86301-1047
(928) 710-7212
Mailing address
2094 RICHARD ST, PRESCOTT, AZ 86301-1047
(928) 710-7212
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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