Individual
DR. PHILLIP DANIEL BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1209 DAVIE AVE, STATESVILLE, NC 28677-3511
(704) 872-8934
Mailing address
1209 DAVIE AVE, STATESVILLE, NC 28677-3511
(704) 872-8934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8056
NC
Other
Enumeration date
11/08/2006
Last updated
03/01/2010
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