PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC

TAHLEQUAH, OK
NPI1780340513
Entity TypeOrganization
Authorized ContactMARK SMITH
Senior Manager
918-456-2555
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2021-11-16
Last Update Date2021-11-16
Business Address
PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
1205 E ROSS BYP
TAHLEQUAH, OK 74464-4188
Phone number: 918-456-2555
Mailing Address
PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
1205 E ROSS BYP
TAHLEQUAH, OK 74464-4188
Phone number: 918-456-2555
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