| Beverly Dental Center | |
|
2138 N Josey Ln Suite 104 Carrollton TX 75006-3034 | |
| (972) 242-4505 | |
| (972) 242-6420 |
| Full Name | Beverly Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2138 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Joon Lee (PARTNER) |
| Authorized Official Contact | 9722424505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Dental Center 130 Tennyson Pl Coppell TX 75019-5365 Ph: (214) 316-8919 | Beverly Dental Center 2138 N Josey Ln Suite 104 Carrollton TX 75006-3034 Ph: (972) 242-4505 |
| NPI Number | 1033513874 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033513874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26178 (Texas) | Primary |
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