Organization
BEVERLY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAKI GADDIPATI (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
109 DODGE ST, BEVERLY, MA 01915-1053
(978) 927-3966
Mailing address
109 DODGE ST, BEVERLY, MA 01915-1053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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