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DR. JEFFREY BRENT BEAGLE D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1093836645
Individual Registrant:DR. JEFFREY BRENT BEAGLE D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
826 ALTOS OAKS DR # 2 LOS ALTOS, CA 94024-5403 US
Tel: 650-948-8400 Fax: 650-948-4827
Tel: 650-948-8400 Fax: 650-948-4827
Contact information for business:
826 ALTOS OAKS DR # 2 LOS ALTOS, CA 94024-5403 US
Tel: 650-948-8400 Fax: 650-948-4827
Tel: 650-948-8400 Fax: 650-948-4827
Registration Information:
NPI: 1093836645
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 31441 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
