Dr. BEAU JOHN BRASSEALE -- D.D.S., M.S.D.
Individual Provider (NPI-1)
Active
Dentist, Endodontics
Provider Information
- NPI Number
1689836439- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S., M.S.D.
- Status
- Active
Contact & Location
- Address
- 901 WILKINSON TRCE SUITE #2, BOWLING GREEN, KY, 421032483
- Phone
- (270) 904-4404
Specialties & Taxonomies
Dentist, General Practice
License: IN #12011193A
Dentist, Endodontics
Primary License: KY #9102