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Dr. Juan C Beteta
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Juan C Beteta |
| Gender: | M |
| Provider License Number If Given: | 2009-01512 |
NPI Information:
| NPI: | 1417942947 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 3/17/2018 |
Provider Business Mailing Address:
| Address: | 2501 S MEBANE ST Burlington, NC 27215 |
| Phone Number: | (336) 228-7337 |
| Fax Number: | 3362220293 |
Provider Business Practice Location Address:
| Address: | 2501 S MEBANE ST Burlington, NC 27215 |
| Phone Number: | 3362287337 |
| Fax Number: | 3362220293 |
Provider Taxonomy:
| Primary: | 208000000X |
| Secondary (if any): | 208000000X |
| State: | NC |
