Evan Dale Clothier D.D.S.

NPI 1043261753 - Dentist - 1223G0001X

NPI Details
NPI 1043261753
Gender Male
Enumeration Date 05/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
BROKEN ARROW OK, 74012-2205, US
Phone (918) 251-3333
Business Location
16534 E 49TH PL
TULSA OK, 74134-7190, US
Phone (918) 251-8999
Taxonomy Code 1223G0001X
License State Kansas
License Number 7162
Remove 1043261753 NPI Number

According to our database, Dr. Evan Dale Clothier D.D.S. NPI is 1043261753, taxonomy code is 1223G0001X and license number is 7162, license state is located at Kansas. Evan Dale Clothier D.D.S. physically located at 300 N Aspen Ave, Broken Arrow OK, 74012-2205. NPI Number Evan Dale Clothier D.D.S. has the Individual type.

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1043261753 NPI number is provided on an as is basis without warranty of any kind. 1043261753 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Dale Clothier D.D.S. are for informational purposes only.