Individual
DR. ANDREA MARIE BEANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2185 BULLIS RD, ELMA, NY 14059-9200
(716) 652-0411
Mailing address
2185 BULLIS RD, P.O. BOX 86, ELMA, NY 14059-9200
(716) 652-0411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056242
NY
Other
Enumeration date
07/10/2011
Last updated
09/17/2014
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