Justin Beagley Valid NPI
Individual provider · Dental Hygienist · La Jara, CO
- NPI
- 1497349658
- Type
- Individual (Type 1)
- Primary specialty
- Dental Hygienist
- Specialty group
- Dental Providers
- Taxonomy code
- 124Q00000X
- License number
- 2024422 (CO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-02-26
- Last updated
- 2021-02-26
Practice location
421 Walnut St.
La Jara, CO 81140
(719) 274-8948