| John Beack Dmd Ps | |
|
13210 Se 240th St Suite B1 Kent WA 98042-5182 | |
| (253) 631-8490 | |
| Not Available |
| Full Name | John Beack Dmd Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13210 Se 240th St, Kent, Washington |
| Authorized Official Name and Position | John Beack (PRESIDENT) |
| Authorized Official Contact | 4259992402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Beack Dmd Ps 13210 Se 240th St Suite B1 Kent WA 98042-5182 Ph: (253) 631-8490 | John Beack Dmd Ps 13210 Se 240th St Suite B1 Kent WA 98042-5182 Ph: (253) 631-8490 |
| NPI Number | 1295083632 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295083632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00010948 (Washington) | Primary |
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