JOSEPH BALZER OTTO

PONCA CITY, OK
NPI1710064910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  4550)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Dr. JOSEPH BALZER OTTO DDS
400 FAIRVIEW SUITE 1
PONCA CITY, OK 74601-1910
Phone number: 580-765-6633
Mailing Address
Dr. JOSEPH BALZER OTTO DDS
400 FAIRVIEW SUITE 1
PONCA CITY, OK 74601-1910
Phone number: 580-765-6633