Brandon E Beaver DDS PC

NPI #1174741474 in Durant, Oklahoma

Provider Information

NPI Number: 1174741474
Entity Type: Organization
Organization Name: Brandon E Beaver DDS PC
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2007
Last Updated: Jun 16, 2015

Practice Location

Address: 2915 WESTSIDE DRIVE
City: Durant
State: Oklahoma
ZIP Code: 74701-2028
Phone: (580) 924-1234

Authorized Official

Name: TIFFANY L LANGLEY
Title: OFFICE MANAGER
Phone: (580) 924-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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