Organization
BEVERLY REED AGNEW, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY REED AGNEW DDS (PRESIDENT)
(520) 825-1505
Entity
Organization
Contact information
Practice address
15969 N ORACLE RD # 101, TUCSON, AZ 85739-9209
(520) 825-1505
Mailing address
15969 N ORACLE RD # 101, TUCSON, AZ 85739-9209
(520) 825-1505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3519
AZ
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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