| NPI | 1003138967 |
|---|---|
| Doing Business As | BEAVERS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NATHAN BEAVERS Dentist 601-856-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2025-10-07 |