Shannon Beaulieu, DDS Valid NPI
Individual provider · Military Health Care Provider · Fpo, AP
- NPI
- 1285474288
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-05-28
- Last updated
- 2025-07-20
Practice location
Unit 100207 Box 1
Fpo, AP 96673-0700
(801) 719-4956