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Individual

DR. KREDENNA BEVERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2314 WEYMOUTH DR., STE. B, BATON ROUGE, LA 70809-5207
(225) 926-4444
(225) 926-4050
Mailing address
1113 PROGRESS RD, BATON ROUGE, LA 70807-3325
(202) 215-0435

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13664
MD
1223P0221X
Pediatric Dentistry
5857
LA

Other

Enumeration date
07/05/2007
Last updated
07/10/2012
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