Organization
THE DUBLIN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WAYNE BEASLEY DDS (DENTIST)
(719) 265-6654
Entity
Organization
Contact information
Practice address
6475 WALL STREET #202, COLORADO SPRINGS, CO 80918
(719) 265-6654
Mailing address
6475 WALL STREET #202, COLORADO SPRINGS, CO 80918
(719) 265-6654
(719) 265-6650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6670
CO
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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