| NPI | 1215587787 |
|---|---|
| Doing Business As | BEVERIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEIGH BEVERIDGE Owner/Dentist 408-267-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |