Individual
DR. AMY EKLUND BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
798 FARMINGTON AVE, WEST HARTFORD, CT 06119-1626
(860) 233-1589
Mailing address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11933
CT
1223G0001X
General Practice Dentistry
DEN4623
ME
1223P0221X
Pediatric Dentistry
Primary
11933
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2016
Last updated
10/09/2023
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