DENNIS LEO WALLIS

COWETA, OK
NPI1710064563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  3135)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- DENNIS LEO WALLIS DDS
224 N BROADWAY
COWETA, OK 74429-2602
Phone number: 918-486-2286
Mailing Address
-- DENNIS LEO WALLIS DDS
224 N BROADWAY
COWETA, OK 74429-2602
Phone number: 918-486-2286
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