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Individual

DR. DOUGLAS OWEN BEISCHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7125 E LINCOLN DR, SUITE B108, PARADISE VALLEY, AZ 85253-4429
(480) 948-1450
(480) 922-8601
Mailing address
7125 E LINCOLN DR, SUITE B108, PARADISE VALLEY, AZ 85253-4429
(480) 948-1450
(480) 922-8601

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4398
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
826546
UNITED CONCORDIA
Enumeration date
02/05/2007
Last updated
01/16/2015
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