Organization
HAROLD J BEAN JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD J BEAN D.D.S. (OWNER)
(618) 628-7080
Entity
Organization
Contact information
Practice address
1002 E WESLEY DR, SUITE 200, O FALLON, IL 62269-6136
(618) 628-7080
(618) 628-9235
Mailing address
1002 E WESLEY DR, SUITE 200, O FALLON, IL 62269-6136
(618) 628-7080
(618) 628-9235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
06/18/2008
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