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Individual

DR. JULIE SUZANNE BEASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
11671 JOLLYVILLE RD, SUITE 201, AUSTIN, TX 78759-4139
(512) 249-7668
(512) 219-1246
Mailing address
11671 JOLLYVILLE RD, SUITE 201, AUSTIN, TX 78759-4139
(512) 249-7668
(512) 219-1246

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22478
TX

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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