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 |