| NPI | 1740548403 |
|---|---|
| Doing Business As | BEACH ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMAS ENGEL Owner / President 757-613-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: VA 0401411234) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |