Individual
DR. GRAHAM L BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
208 BRADFORD LN, WATERLOO, IL 62298-3267
(618) 939-7181
Mailing address
208 BRADFORD LN, WATERLOO, IL 62298-3267
(618) 939-7181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029660
IL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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