| NPI | 1053547794 |
|---|---|
| Doing Business As | BEACH VIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREA BURGER ELENBAAS Owner/Dentist 228-896-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 0293496) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |