Individual
MS. STACEY L BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
HIGHWAY 51 EAST, RT 6 BOX 840, STILWELL, OK 74960
(918) 696-8805
Mailing address
HIGHWAY 51 EAST, RT 6 BOX 840, STILWELL, OK 74960
(918) 696-8805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6331
OK
Other
Enumeration date
04/20/2009
Last updated
03/04/2013
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