Organization
BEACH VIEW DENTAL SLEEP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA ELENBAAS D.M.D. (OWNER/DENTIST)
(228) 896-1840
Entity
Organization
Contact information
Practice address
1924 E PASS RD, GULFPORT, MS 39507-3715
(228) 896-1840
(228) 604-4449
Mailing address
1924 E PASS RD, GULFPORT, MS 39507-3715
(228) 896-1840
(228) 604-4449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2260-86
MS
1223G0001X
General Practice Dentistry
Primary
2394-96
MS
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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