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Organization

BEAM DENTAL

Active
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Organization

BEAM DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHUHAD SHAMBILLE DDS (DENTIST)
(918) 605-2603
Entity
Organization

Contact information

Practice address
1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
(918) 994-0028
(918) 994-0908
Mailing address
1144 N 38TH ST, BROKEN ARROW, OK 74014-1312
(918) 994-0028
(918) 994-0908

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL

Other

Enumeration date
01/12/2023
Last updated
11/17/2025
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