Individual
DR. DANIEL TILMON BEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 N JACKSON ST, MAGNOLIA, AR 71753-2462
(870) 234-1110
(870) 234-1112
Mailing address
PO BOX 1133, 615 N. JACKSON ST., MAGNOLIA, AR 71754-1133
(870) 234-1110
(870) 234-1112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3485
AR
Other
Enumeration date
02/28/2007
Last updated
08/10/2009
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