Individual
DR. D. MARK BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30 AULIKE ST STE 604, KAILUA, HI 96734-2752
(808) 261-8558
(808) 263-7986
Mailing address
30 AULIKE ST STE 604, KAILUA, HI 96734-2752
(808) 261-8558
(808) 263-7986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1881
HI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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