Organization
BEAVER DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE A INGRAM (OWNER)
(724) 774-1361
Entity
Organization
Contact information
Practice address
244 COLLEGE AVE, BEAVER, PA 15009-2706
(724) 774-1361
(724) 774-1932
Mailing address
244 COLLEGE AVE, BEAVER, PA 15009-2706
(724) 774-1361
(724) 774-1932
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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