Richard Brook Edmonds DDS

NPI 1619985371 - Dentist - 1223G0001X

NPI Details
NPI 1619985371
Gender Male
Enumeration Date 08/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
806 16TH AVE NW
ARDMORE OK, 73401-1818, US
Phone (580) 223-5514
Fax (580) 223-5908
Business Location
806 16TH AVE NW
ARDMORE OK, 73401-1818, US
Phone (580) 223-5514
Fax (580) 223-5908
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 4755
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According to our database, Richard Brook Edmonds DDS NPI is 1619985371, taxonomy code is 1223G0001X and license number is 4755, license state is located at Oklahoma. Richard Brook Edmonds DDS physically located at 806 16th Ave Nw, Ardmore OK, 73401-1818. NPI Number Richard Brook Edmonds DDS has the Individual type.

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1619985371 NPI number is provided on an as is basis without warranty of any kind. 1619985371 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Brook Edmonds DDS are for informational purposes only.