Beverly Denise Deacon, DDS

NPI #1770628224 in Desoto, Texas

Provider Information

NPI Number
1770628224
Entity Type
Individual
Name
Beverly Denise Deacon, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2828 DUKE OF GLOUCESTER ST STE 112
City
Desoto
State
Texas
ZIP Code
75115-2073
Phone
(972) 296-9760

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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