Otis Glenn Beck JR. DMD

NPI 1174652317 - Dentist - 122300000X

NPI Details
NPI 1174652317
Gender Male
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2929B CAPITAL MEDICAL BLVD
TALLAHASSEE FL, 32308-4407, US
Phone (850) 656-2636
Fax (850) 656-0220
Business Location
2929B CAPITAL MEDICAL BLVD
TALLAHASSEE FL, 32308-4407, US
Phone (850) 656-2636
Fax (850) 656-0220
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number 8116
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According to our database, Otis Glenn Beck JR. DMD NPI is 1174652317, taxonomy code is 122300000X and license number is 8116, license state is located at Florida. Otis Glenn Beck JR. DMD physically located at 2929b Capital Medical Blvd, Tallahassee FL, 32308-4407. NPI Number Otis Glenn Beck JR. DMD has the Individual type.

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1174652317 NPI number is provided on an as is basis without warranty of any kind. 1174652317 is maintained by the National Plan & Provider Enumeration System. The contents of Otis Glenn Beck JR. DMD are for informational purposes only.