Organization
BARNES & BEAVERS FAMILY DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BEAVERS RUNNELS BEAVERS D.D.S. (PRESIDENT)
(405) 682-9557
Entity
Organization
Contact information
Practice address
6050 S MAY AVE, OKLAHOMA CITY, OK 73159-1402
(405) 682-9557
Mailing address
6050 S MAY AVE, OKLAHOMA CITY, OK 73159-1402
(405) 682-9557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4453
OK
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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