Individual
GERARDO L. BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.P.A.
Contact information
Practice address
9593 N W 41 STREET, MIAMI, FL 33178
(305) 594-2022
(305) 591-8609
Mailing address
9408 N W 54 LANE, DORAL, FL 33178
(305) 477-4840
(305) 591-8609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12264
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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