Individual provider · Type 1 NPI
Katina Rene Beverly, DDS
Pediatric Dentistry · Monroe, LA
NPI number
1154527018
Active
Practice location
1203 N 5th St
Monroe, LA 71201-5317
Fax (318) 805-0345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 5856 (LA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Monroe
About NPI 1154527018
Katina Rene Beverly, DDS's National Provider Identifier is 1154527018, issued on Jun 26, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Monroe, LA. The record was last updated on Nov 13, 2008.