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Individual

DR. JOHN PHILIP BEARDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
213 3RD AVE N, LAKEFIELD, MN 56150-1123
(507) 662-5358
(507) 662-5108
Mailing address
PO BOX 1148, 213 3RD AVE N, LAKEFIELD, MN 56150-1148
(507) 662-5358

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7657
MN

Other

Enumeration date
12/07/2005
Last updated
06/24/2014
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