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DR. DANIEL TILMON BEENE DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1548397029

Individual Registrant:
DR. DANIEL TILMON BEENE DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
615 N JACKSON ST  MAGNOLIA, AR 71753-2462 US
Tel: 870-234-1110  Fax: 870-234-1112

Contact information for business:
PO BOX 1133 615 N. JACKSON ST. MAGNOLIA, AR 71754-1133 US
Tel: 870-234-1110  Fax: 870-234-1112

Registration Information:
NPI: 1548397029
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AR3485

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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