MARK DAVID SMITH

TAHLEQUAH, OK
NPI1124096755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5389)
Enumeration Date2006-03-09
Last Update Date2007-07-08
Business Address
-- MARK DAVID SMITH DDS
1205 E ROSS BYPASS
TAHLEQUAH, OK 74464
Phone number: 918-456-2555
Mailing Address
-- MARK DAVID SMITH DDS
1205 E ROSS BYPASS
TAHLEQUAH, OK 74464
Phone number: 918-456-2555
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