Individual
DR. OLLIE LOGAN BEARD III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 W LILLIE BLVD, MADILL, OK 73446-1253
(580) 795-5400
(580) 795-5723
Mailing address
PO BOX 128, 301 WEST LILLIE BLVD, MADILL, OK 73446-0128
(580) 920-2292
(580) 795-5273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3453
OK
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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