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1104847078
SCOT SHADID
OKLAHOMA CITY, OK
NPI
1104847078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 4631)
Enumeration Date
2006-07-23
Last Update Date
2019-07-22
Business Address
SCOT SHADID DDS
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-6326
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Mailing Address
SCOT SHADID DDS
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-6326
Copy
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