Beaver Dental Associates, LLC
NPI #1205064771 in Beaver, Pennsylvania
Provider Information
- NPI Number
- 1205064771
- Entity Type
- Organization
- Organization Name
- Beaver Dental Associates, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 23, 2009
- Last Updated
- Jun 23, 2009
Practice Location
- Address
- 244 COLLEGE AVE
- City
- Beaver
- State
- Pennsylvania
- ZIP Code
- 15009-2706
- Phone
- (724) 774-1361
Authorized Official
- Name
- MRS. JACQUELINE A INGRAM
- Title
- OWNER
- Phone
- (724) 774-1361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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