| NPI | 1962807990 |
|---|---|
| Doing Business As | BEVERLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERICA A. MILLS Owner/Operator 646-579-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055304-1) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |