Organization
L&L BEVILLE DENTAL LLC
Active
Other names
Beville Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY M ZDENEK (OFFICE MANAGER)
(386) 761-2273
Entity
Organization
Contact information
Practice address
911 BEVILLE ROAD, SUITE 1, SOUTH DAYTONA, FL 32119-3211
(386) 761-2273
(407) 386-9000
Mailing address
911 BEVILLE RD STE 1, SOUTH DAYTONA, FL 32119-1726
(386) 761-2273
(407) 386-9000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN7283
FL
Other
Enumeration date
03/28/2018
Last updated
08/17/2018
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