Matthew Thomas Bean

NPI #1326545450 in Goodfellow Afb, Texas

Provider Information

NPI Number: 1326545450
Entity Type: Individual
Name: Matthew Thomas Bean
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 5, 2018
Last Updated: Aug 6, 2019

Practice Location

Address: 271 FORT RICHARDSON AVE
City: Goodfellow Afb
State: Texas
ZIP Code: 76908-4901
Phone: (325) 654-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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