Carolyn Rose Hetrick D.D.S.

NPI 1801233861 - Dentist - 122300000X

NPI Details
NPI 1801233861
Gender Female
Enumeration Date 05/31/2013
Last Updated 05/31/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
310 WEST LOSEY AVE.
375 DS, SCOTT AFB, IL
APO AA, 62225, US
Phone (618) 256-6667
Fax
Business Location
5423 E 104TH PL
TULSA OK, 74137-6026, US
Phone (618) 256-6667
Fax
Toxanomy
Taxonomy Code 122300000X
License State Oklahoma
License Number 6487
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According to our database, Dr. Carolyn Rose Hetrick D.D.S. NPI is 1801233861, taxonomy code is 122300000X and license number is 6487, license state is located at Oklahoma. Carolyn Rose Hetrick D.D.S. physically located at 310 West Losey Ave., Apo AA, 62225. NPI Number Carolyn Rose Hetrick D.D.S. has the Individual type.

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1801233861 NPI number is provided on an as is basis without warranty of any kind. 1801233861 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Rose Hetrick D.D.S. are for informational purposes only.