NPI 1336709666

Eric E Bewley, CDT

Practitioner Dental Laboratory Technician Prescott, AZ

Practice location

Address: 2094 Richard St, Prescott, AZ 86301-1047
Phone: (928) 710-7212

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

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Registry record

NPI: 1336709666
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2019
Record last updated: 18 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.