Individual
KEITH EDWARD BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1146 EXECUTIVE CIR, CARY, NC 27511-4526
(919) 467-0654
(919) 467-2520
Mailing address
1146 EXECUTIVE CIR, CARY, NC 27511-4526
(919) 467-0654
(919) 467-2520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9595
NC
Other
Enumeration date
09/09/2013
Last updated
04/06/2016
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