Individual
DR. ALLAN GRANT BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1212 STEVENSON RD., WESTPORT, NY 12993-0430
(518) 962-4717
(518) 962-4717
Mailing address
1212 STEVENSON RD., P.O. BOX 430, WESTPORT, NY 12993-0430
(518) 962-4717
(518) 962-4717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033575
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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