BRYCE E SLACK

PRYOR, OK
NPI1013438100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  6979)
Enumeration Date2017-06-29
Last Update Date2023-05-10
Business Address
Dr. BRYCE E SLACK
101 S ADAIR ST
PRYOR, OK 74361-3625
Phone number: 918-825-7111
Mailing Address
Dr. BRYCE E SLACK
2007 E 133RD ST S
BIXBY, OK 74008-1200
Phone number: 435-773-7175