Organization
BEAUCHAMP, GAUSS, GSCHWIND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY R BEAUCHAMP DDS (OWNER)
(810) 765-9200
Entity
Organization
Contact information
Practice address
342 W SAINT CLAIR ST, MARINE CITY, MI 48039-3544
(810) 765-9200
(810) 765-6460
Mailing address
342 W SAINT CLAIR ST, MARINE CITY, MI 48039-3544
(810) 765-9200
(810) 765-6460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901015324
MI
1223G0001X
General Practice Dentistry
Primary
2902025117
MI
1223G0001X
General Practice Dentistry
2902025321
MI
Other
Enumeration date
04/18/2006
Last updated
08/22/2020
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