| L&l Beville Dental Llc | |
|
911 Beville Road Suite 1 South Daytona FL 32119-3211 | |
| (386) 761-2273 | |
| (407) 386-9000 |
| Full Name | L&l Beville Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 911 Beville Road, South Daytona, Florida |
| Authorized Official Name and Position | Ashley M Zdenek (OFFICE MANAGER) |
| Authorized Official Contact | 3867612273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L&l Beville Dental Llc 911 Beville Rd Ste 1 South Daytona FL 32119-1726 Ph: (386) 761-2273 | L&l Beville Dental Llc 911 Beville Road Suite 1 South Daytona FL 32119-3211 Ph: (386) 761-2273 |
| NPI Number | 1285139527 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285139527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN7283 (Florida) | Primary |
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