Beach View Dental Sleep Therapy
NPI #1316359649 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1316359649
- Entity Type
- Organization
- Organization Name
- Beach View Dental Sleep Therapy
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2014
- Last Updated
- May 21, 2014
Practice Location
- Address
- 1924 E PASS RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39507-3715
- Phone
- (228) 896-1840
Authorized Official
- Name
- DR. ANDREA ELENBAAS, D.M.D.
- Title
- OWNER/DENTIST
- Phone
- (228) 896-1840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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