Individual
IVY L BEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
195 W 14TH, GARFIELD PUBLIC HEALTH, RIFLE, CO 81650-4700
(970) 625-5200
Mailing address
3375 E 1/4 RD, CLIFTON, CO 81520-8019
(970) 812-6198
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
906264
CO
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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