Individual
DR. JACINTO W. BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,
Contact information
Practice address
4536 KARL RD, COLUMBUS, OH 43224-1122
(614) 447-2244
Mailing address
4536 KARL RD, COLUMBUS, OH 43224-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-9588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261289
—
OH
Enumeration date
01/09/2007
Last updated
07/08/2007
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