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Organization
BEVERLY REED AGNEW, DDS, PC
Active
Organization
BEVERLY REED AGNEW, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY REED AGNEW DDS (PRESIDENT)
(520) 825-1505
Entity
Organization
Contact information
Practice address
15969 N ORACLE RD # 101, TUCSON, AZ 85739-9209
(520) 825-1505
Mailing address
15969 N ORACLE RD # 101, TUCSON, AZ 85739-9209
(520) 825-1505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3519
AZ
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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