Individual
GERARD JEAN-LUC BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9593 NW 41ST ST, DORAL, FL 33178-2914
(305) 594-2022
Mailing address
9408 NW 54TH DORAL CIRCLE LN, DORAL, FL 33178-2048
(305) 562-0374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29137
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/06/2023
Last updated
02/27/2025
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