Individual
DR. BEENA TEJ LAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8194 E 111TH ST S, BIXBY, OK 74008-2421
(918) 369-6118
(918) 369-6121
Mailing address
725 W MAIN ST, JENKS, OK 74037-3518
(918) 528-3230
(918) 528-3231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5792
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074570A
—
OK
Enumeration date
12/23/2005
Last updated
12/14/2020
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