Organization · Type 2 NPI

John Beack DMD PS

Dental Clinic/Center · Kent, WA

NPI number 1295083632 Active

Practice location

13210 SE 240th St, Suite B1
Kent, WA 98042-5182

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDE00010948 (WA)

Dental Clinic/Center: Definition to come...

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About NPI 1295083632

John Beack DMD PS's National Provider Identifier is 1295083632, issued on Aug 15, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kent, WA. The record was last updated on Aug 15, 2012.