CUSTOM DENTAL OF YUKON, PLLC

YUKON, OK
NPI1164049185
Entity TypeOrganization
Authorized ContactKATELYN JOHNSON
Owner Doctor
918-839-9088
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-06-26
Last Update Date2020-06-26
Business Address
CUSTOM DENTAL OF YUKON, PLLC
4425 GRANT BLVD
YUKON, OK 73099
Phone number: 405-494-4856
Mailing Address
CUSTOM DENTAL OF YUKON, PLLC
4425 GRANT BLVD
YUKON, OK 73099
Phone number: 405-494-4856
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