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1659689248
CUSTOM DENTAL OF OWASSO, PLLC
OWASSO, OK
NPI
1659689248
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Entity Type
Organization
Authorized Contact
RON CAMPBELL
Dentist
918-371-7645
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 6099)
Enumeration Date
2010-09-17
Last Update Date
2010-09-17
Business Address
CUSTOM DENTAL OF OWASSO, PLLC
11501 N. 135TH EAST AVE
OWASSO, OK 74055
Phone number: 918-371-7645
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Mailing Address
CUSTOM DENTAL OF OWASSO, PLLC
2001 S DIVISION ST
GUTHRIE, OK 73044-6063
Phone number: 405-282-6440
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