Organization
BEAUMONT DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANU DUCKWORTH DDS (OWNER)
(909) 528-8556
Entity
Organization
Contact information
Practice address
930 BEAUMONT AVE, BEAUMONT, CA 92223-1831
(951) 845-2200
Mailing address
930 BEAUMONT AVE, BEAUMONT, CA 92223-1831
(951) 845-2200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64330
CA
Other
Enumeration date
03/22/2015
Last updated
03/22/2015
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