Organization
CHARLES P BECKWELL, DDS,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PATRICK BECKWELL (OWNER)
(586) 777-6440
Entity
Organization
Contact information
Practice address
22301 GREATER MACK AVE, STE # 1, SAINT CLAIR SHORES, MI 48080-2376
(586) 777-6440
(586) 777-3195
Mailing address
22301 GREATER MACK AVE, STE # 1, SAINT CLAIR SHORES, MI 48080-2376
(586) 777-6440
(586) 777-3195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014857
MI
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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