MEDICARE: DR. BEATRIZ ELENA TERRY D.D.S., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	13423	FL

General Provider Information

NPI Number	:	1336276039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEATRIZ ELENA TERRY D.D.S., M.S.

Provider Business Mailing Address
First Line	:	6361 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4842
Country	:	US
Telephone Number	:	305-275-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	6361 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-4842
Country	:	US
Telephone Number	:	305-275-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	02/24/2016

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