Organization
CHARLES P BECKWELL DDS, FAMILY&COSMETIC DENTAL,PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PATRICK BECKWELL (OWNER)
(586) 566-9519
Entity
Organization
Contact information
Practice address
52835 HAYES RD, SHELBY TWP, MI 48315-2522
(586) 566-9519
Mailing address
52835 HAYES RD, SHELBY TWP, MI 48315-2522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014857
MI
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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