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1265198410
MUSKOGEE PEDIATRIC DENTAL PLLC
MUSKOGEE, OK
NPI
1265198410
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Entity Type
Organization
Authorized Contact
ANNE DEMMY
Credentialing Specialist
918-998-0996
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-11-11
Last Update Date
2021-11-11
Business Address
MUSKOGEE PEDIATRIC DENTAL PLLC
930 W SHAWNEE ST
MUSKOGEE, OK 74401-3511
Phone number: 918-998-0996
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Mailing Address
MUSKOGEE PEDIATRIC DENTAL PLLC
400 RIVERWALK TER STE 250
JENKS, OK 74037-5619
Phone number: 918-998-0996
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