Individual
MICHAEL LYNN BEACHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1802 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-5925
(574) 533-6471
Mailing address
509 GRA ROY DR, GOSHEN, IN 46526-4803
(574) 534-1123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008544A
IN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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