Organization
BRANDON E BEAVER DDS PC
Active
Other names
Westside Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY L LANGLEY (OFFICE MANAGER)
(580) 924-1234
Entity
Organization
Contact information
Practice address
2915 WESTSIDE DRIVE, DURANT, OK 74701-2028
(580) 924-1234
(580) 920-2082
Mailing address
2915 WESTSIDE DRIVE, DURANT, OK 74701-2028
(580) 924-1234
(580) 920-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3469
OK
122300000X
Dentist
Primary
5597
OK
Other
Enumeration date
04/23/2007
Last updated
06/16/2015
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