Individual
DR. MICHAEL JAMES BEAUREGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11105 E WINNER RD, INDEPENDENCE, MO 64052-3837
(816) 252-6393
(816) 252-6393
Mailing address
11105 E WINNER RD, INDEPENDENCE, MO 64052-3837
(816) 252-6393
(816) 252-6393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015858
MO
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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