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General Practice Dentistry

NPI: 1164465399Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

5317(OK)

Contact & Hours

Address: HIGHWAY 83 SOUTH AND I-40 JUNCTION
VIAN, OK 74962
Phone: (918) 773-6200

Location

Practice Location

HIGHWAY 83 SOUTH AND I-40 JUNCTION, VIAN, OK

Quick Facts

NPI: 1164465399
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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