DOMINIQUE BURDETTE

SALLISAW, OK
NPI1003437757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OK  Student)
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
DOMINIQUE BURDETTE
301 S J T STITES ST
SALLISAW, OK 74955-9302
Phone number: 918-775-9150
Mailing Address
DOMINIQUE BURDETTE
3863 W 173RD ST N
SKIATOOK, OK 74070-9404
Phone number: 918-637-9045
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