Individual
DANIEL BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
80 S MAIN ST, WEST HARTFORD, CT 06107-2408
(860) 231-1030
Mailing address
5 TALCOTT GLN UNIT G, FARMINGTON, CT 06032-3524
(413) 348-1071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11990
CT
Other
Enumeration date
05/05/2016
Last updated
10/12/2023
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