Individual
DR. KEVIN J. BEITCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
11924 VANCE JACKSON RD, SUITE 201, SAN ANTONIO, TX 78230-1691
(210) 558-3395
(210) 696-3815
Mailing address
11924 VANCE JACKSON RD, SUITE 201, SAN ANTONIO, TX 78230-1691
(210) 558-3395
(210) 696-3815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15288
TX
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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