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1114192945
DENTAL IMPLANT CENTRE'
ARDMORE, OK
NPI
1114192945
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Entity Type
Organization
Authorized Contact
RONALD ALAN BULARD
Owner
580-226-0410
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 4684)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
DENTAL IMPLANT CENTRE'
2401 N COMMERCE ST
ARDMORE, OK 73401-1280
Phone number: 580-226-0410
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Mailing Address
DENTAL IMPLANT CENTRE'
2401 N COMMERCE ST
ARDMORE, OK 73401-1280
Phone number: 580-226-0410
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