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DR. EMMALEE BEENE GREGORY DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1235242421

Individual Registrant:
DR. EMMALEE  BEENE GREGORY DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1018 N WASHINGTON ST  MAGNOLIA, AR 71754-0432 US
Tel: 870-234-5244  Fax: 870-234-7504

Contact information for business:
PO BOX 432 1018 N WASHINGTON ST MAGNOLIA, AR 71754-0432 US
Tel: 870-234-5244  Fax: 870-234-7504

Registration Information:
NPI: 1235242421
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AR2990

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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