# BEVERLY REED AGNEW, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356619720
- **Authorized official:** DR. BEVERLY REED AGNEW DDS (PRESIDENT)
- **Authorized official phone:** (520) 825-1505

## Contact information

- **Practice address:** 15969 N ORACLE RD \# 101, TUCSON, AZ 85739-9209
- **Practice address phone:** (520) 825-1505
- **Mailing address:** 15969 N ORACLE RD \# 101, TUCSON, AZ 85739-9209
- **Mailing address phone:** (520) 825-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3519 | AZ | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011