BRANT ROUSE DDS PLC

TAHLEQUAH, OK
NPI1003131459
Entity TypeOrganization
Authorized ContactBRANT PHILIP ROUSE
President
918-456-0977
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2010-03-29
Last Update Date2020-08-07
Business Address
BRANT ROUSE DDS PLC
559 MEADOW CREEK DRIVE
TAHLEQUAH, OK 74464-1088
Phone number: 918-456-0977
Mailing Address
BRANT ROUSE DDS PLC
559 MEADOW CREEK DRIVE
TAHLEQUAH, OK 74464-1088
Phone number: 918-456-0977
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