Beverly Gayle Thetford, DDS Valid NPI
Individual provider · General Practice Dentistry · Rosenberg, TX
- NPI
- 1659499275
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 11337 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-03-26
- Last updated
- 2007-07-08
Practice location
7615 Town Center Blvd
Rosenberg, TX 77471-6219
(281) 342-0163