Beverly, Katina Rene
Beverly, Katina Rene is an sole proprietor health care provider with primary practice located at 1203 N 5Th St , Monroe LA 71201-5317. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Beverly, Katina Rene can be contacted via phone (318) 805-9000.Contact Information
Primary practice address
1203 N 5Th St
Monroe LA 71201-5317
Phone: (318) 805-9000
Fax: (318) 805-0345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5856 | Louisiana |
Profile Details
| NPI number | 1154527018 |
|---|---|
| LBN Legal business name | Beverly, Katina Rene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Nov 13th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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