Blake Bean, DDS

NPI #1336719673 in Mansfield, Texas

Provider Information

NPI Number
1336719673
Entity Type
Individual
Name
Blake Bean, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 29, 2021
Last Updated
Jun 29, 2021

Practice Location

Address
1600 HWY 287 N. FRONTAGE RD
Address 2
SUITE 102
State
Texas
ZIP Code
76063
Phone
(817) 473-9501

Specialties & Taxonomy Codes

Specialty
Dentist

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