Eric E Bewley, CDT
Dental Laboratory Technician in Prescott, AZ. Individual provider (NPI-1).
NPI number1336709666
StatusActive
Last updated in NPPESJun 18, 2019
Details
- NPI
- 1336709666
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eric E Bewley
- Credential
- CDT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2019
- Last updated
- Jun 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126900000X | Dental Laboratory Technician | – | – | Yes |
Practice location
2094 Richard StPrescott, AZ 86301-1047
Phone 928-710-7212
Mailing address
2094 Richard StPrescott, AZ 86301-1047
Phone 928-710-7212
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