Individual
DR. DUANE H BEERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, FAGD, AAACD
Contact information
Practice address
200 MANZANARES AVE E, SOCORRO, NM 87801-4215
(505) 835-3662
(505) 838-1631
Mailing address
200 MANZANARES AVE E, SOCORRO, NM 87801-4215
(505) 835-3662
(505) 838-1631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008063
BCBS PROVIDER #
—
01
—
1290
DENTAL LICENSE
NM
01
—
46180
UNITED CONCORDIA PROVIDER
—
Enumeration date
11/15/2006
Last updated
11/12/2014
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