Individual
DR. DESTINY BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15889 PRESTON RD APT 1130, DALLAS, TX 75248-3811
(210) 347-1323
Mailing address
15889 PRESTON RD APT 1130, DALLAS, TX 75248-3811
(210) 347-1323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058426
NY
122300000X
Dentist
28905
TX
Other
Enumeration date
06/13/2013
Last updated
02/14/2017
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