Individual
DR. LYNNEL CONSTANCE DICKSON BEAUCHESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
RR 2 BOX 181-23, TUNNELTON, WV 26444-9642
(304) 892-4653
(304) 892-3943
Mailing address
RR 2 BOX 181-23, TUNNELTON, WV 26444-9642
(304) 892-4653
(304) 892-3943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3317
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134475000
—
WV
01
—
3317
LICENSE
WV
Enumeration date
04/17/2007
Last updated
07/08/2007
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