Jeromy Wade Dauphin DDS

NPI 1679723712 - Dentist - 122300000X

NPI Details
NPI 1679723712
Gender Male
Enumeration Date 09/25/2008
Last Updated 09/10/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1024 SW 104TH ST
OKLAHOMA CITY OK, 73139-2990, US
Phone (405) 691-1123
Fax (405) 691-2674
Business Location
1024 SW 104TH ST
OKLAHOMA CITY OK, 73139-2990, US
Phone (405) 691-1123
Fax (405) 691-2674
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 24108
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According to our database, Dr. Jeromy Wade Dauphin DDS NPI is 1679723712, taxonomy code is 122300000X and license number is 24108, license state is located at Texas. Jeromy Wade Dauphin DDS physically located at 1024 Sw 104th St, Oklahoma City OK, 73139-2990. NPI Number Jeromy Wade Dauphin DDS has the Individual type.

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1679723712 NPI number is provided on an as is basis without warranty of any kind. 1679723712 is maintained by the National Plan & Provider Enumeration System. The contents of Jeromy Wade Dauphin DDS are for informational purposes only.