Individual
CHARLES PATRICK BECKWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
22301 GREATER MACK AVE, SUITE 1, SAINT CLAIR SHORES, MI 48080-2376
(586) 777-6440
(586) 777-3195
Mailing address
22301 GREATER MACK AVE, SUITE 1, SAINT CLAIR SHORES, MI 48080-2376
(586) 777-6440
(586) 777-3195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014857
MI
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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