Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 27956 | CA |
NPI | 1720202633 |
---|---|
Provider Name | Dr. Anthony D Beech |
First Address | Sunnyvale, CA 94087-5922 |
Second Address | Sunnyvale, CA 94087-5922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |