Individual
DR. MATTHEW MILES BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(314) 828-8369
Mailing address
10118 WHEAT RIDGE DR, FRISCO, TX 75034-4720
(972) 712-3190
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
21090
TX
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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