Wilburton Family Dentistry, Llc

NPI 1518099357 - Dentist - 1223G0001X

NPI Details
NPI 1518099357
Enumeration Date 03/09/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CASEY CASEY
Position PRESIDENT
Phone (918) 465-2381
Fax
Practice Location
114 W MAIN ST
WILBURTON OK, 74578-4044, US
Phone (918) 465-2381
Fax
Business Location
114 W MAIN ST
WILBURTON OK, 74578-4044, US
Phone (918) 465-2381
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 5805
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According to our database, Wilburton Family Dentistry, Llc NPI is 1518099357, taxonomy code is 1223G0001X and license number is 5805, license state is located at Oklahoma. Wilburton Family Dentistry, Llc physically located at 114 W Main St, Wilburton OK, 74578-4044. NPI Number 1033115704 has the healthcare provider type.

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1518099357 NPI number is provided on an as is basis without warranty of any kind. 1518099357 is maintained by the National Plan & Provider Enumeration System. The contents of Wilburton Family Dentistry, Llc are for informational purposes only.