| Beverly A. M. Witham, D.d.s., Inc. | |
|
333 W Maude Ave Ste 107 Sunnyvale CA 94085-4367 | |
| (408) 739-5600 | |
| (408) 739-0160 |
| Full Name | Beverly A. M. Witham, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 333 W Maude Ave Ste 107, Sunnyvale, California |
| Authorized Official Name and Position | Beverly Ann Mccall Witham (PRESIDENT/OWNER/DENTIST) |
| Authorized Official Contact | 4087395600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly A. M. Witham, D.d.s., Inc. 333 W Maude Ave Ste 107 Sunnyvale CA 94085-4367 Ph: (408) 739-5600 | Beverly A. M. Witham, D.d.s., Inc. 333 W Maude Ave Ste 107 Sunnyvale CA 94085-4367 Ph: (408) 739-5600 |
| NPI Number | 1306235288 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306235288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 34794 (California) | Primary |
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