VAN DALE DEMILLE

ENID, OK
NPI1427898840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  7823)
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
-- VAN DALE DEMILLE DDS
5202 W OWEN K GARRIOTT RD STE A
ENID, OK 73703-4611
Phone number: 580-242-5862
Mailing Address
-- VAN DALE DEMILLE DDS
5202 W OWEN K GARRIOTT RD STE A
ENID, OK 73703-4611
Phone number: 580-242-5862