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1144256215
RICHARD FENTEM
MIDWEST CITY, OK
NPI
1144256215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OK 4410)
Enumeration Date
2006-06-23
Last Update Date
2014-01-14
Business Address
RICHARD FENTEM DDS
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110-4433
Phone number: 405-733-0002
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Mailing Address
RICHARD FENTEM DDS
304 S AIR DEPOT BLVD
MIDWEST CITY, OK 73110-4433
Phone number: 405-733-0002
Copy
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