Provider Demographics
NPI:1225229214
Name:BEATRIZ R. AGUERO, DDS & ASSOCIATES IV, PA
Entity Type:Organization
Organization Name:BEATRIZ R. AGUERO, DDS & ASSOCIATES IV, PA
Other - Org Name:DENTALWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-243-8670
Mailing Address - Street 1:17300 DALLAS PARKWAY
Mailing Address - Street 2:#1070
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-755-0880
Mailing Address - Fax:972-755-0890
Practice Address - Street 1:230 LOWES BLVD
Practice Address - Street 2:
Practice Address - City:LEEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292
Practice Address - Country:US
Practice Address - Phone:336-243-8670
Practice Address - Fax:216-584-1112
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTALONE PARTNERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-06
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC65411223G0001X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty