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1386488690
IVY S SPARLIN
PONCA CITY, OK
NPI
1386488690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 7932)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
IVY S SPARLIN DDS
1216 E HARTFORD AVE STE 1A
PONCA CITY, OK 74601-2059
Phone number: 580-762-9119
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Mailing Address
IVY S SPARLIN DDS
304 LONNIE AVE
PONCA CITY, OK 74601-1310
Phone number: 620-446-2267
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