BEVERLY DEACON, DDS
Dentist - General Practice
Active
Individual
NPI: 1770628224
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 15611 (TX) |
Frequently Asked Questions
NPI 1770628224 is the National Provider Identifier for BEVERLY DEACON, DDS, a Dentist - General Practice provider located in Desoto, TX. This NPI was enumerated on February 21, 2007.
BEVERLY DEACON, DDS practices at 2828 DUKE OF GLOUCESTER ST STE 112, Desoto, TX 75115.
Quick Facts
- NPI
- 1770628224
- Type
- Individual
- Enumerated
- Feb 21, 2007
- Last Updated
- Jul 8, 2007
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