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DR. CHRIS C BEAL DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1225288129

Individual Registrant:
DR. CHRIS C BEAL DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1185 CAPITOL ST STE 104  EAGLE, CO 81631-5000 US
Tel: 970-328-5268  Fax: 970-328-5267

Contact information for business:
PO BOX 5499 1185 CAPITOL ST. SUITE 104 EAGLE, CO 81631-5499 US
Tel: 970-328-5268  Fax: 970-328-5267

Registration Information:
NPI: 1225288129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CO9677
N122300000XDental Providers
Dentist
CA54859

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
FACILITY NPI1972871051CO01




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