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1134328016
BRENT SHANNON DOBSON
OWASSO, OK
NPI
1134328016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OK 5477)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
Dr. BRENT SHANNON DOBSON D.D.S., M.S.
12813 E 101ST PL N
OWASSO, OK 74055-4662
Phone number: 918-272-4242
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Mailing Address
Dr. BRENT SHANNON DOBSON D.D.S., M.S.
12813 E 101ST PL N
OWASSO, OK 74055-4662
Phone number: 918-272-4242
Copy
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