Individual
DR. ELIZABETH BALDWIN BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
16093 W 135TH ST STE B, OLATHE, KS 66062-1507
(913) 213-5641
Mailing address
16093 W 135TH ST STE B, OLATHE, KS 66062-1507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61193
KS
1223P0300X
Periodontics
Primary
61193
KS
Other
Enumeration date
06/14/2016
Last updated
05/02/2019
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