Individual
MR. TYREL TIMOTHY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1259 N. POWER RD #2, MESA, AZ 85205
(480) 832-4567
(480) 854-3869
Mailing address
1259 N. POWER RD #2, MESA, AZ 85205
(480) 832-4567
(480) 854-3869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4798
AZ
Other
Enumeration date
09/28/2006
Last updated
06/23/2015
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