Individual
DR. TAD L. BEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
550 W 46TH AVE, PINE BLUFF, AR 71603-7134
(870) 536-4567
Mailing address
550 W 46TH AVE, PINE BLUFF, AR 71603-7134
(870) 536-4567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3768
AR
Other
Enumeration date
06/03/2010
Last updated
07/07/2014
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