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1700048345
ALAN FORTENBERRY
OWASSO, OK
NPI
1700048345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 6026)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
Dr. ALAN FORTENBERRY D.D.S.
9551 N OWASSO EXPY STE 100
OWASSO, OK 74055-5414
Phone number: 918-376-9600
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Mailing Address
Dr. ALAN FORTENBERRY D.D.S.
9551 N OWASSO EXPY STE 100
OWASSO, OK 74055-5414
Phone number: 918-376-9600
Copy
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