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1780340513
PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
TAHLEQUAH, OK
NPI
1780340513
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Entity Type
Organization
Authorized Contact
MARK SMITH
Senior Manager
918-456-2555
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
1205 E ROSS BYP
TAHLEQUAH, OK 74464-4188
Phone number: 918-456-2555
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Mailing Address
PREMIERE FAMILY DENTISTRY OF TAHLEQUAH, PLLC
1205 E ROSS BYP
TAHLEQUAH, OK 74464-4188
Phone number: 918-456-2555
Copy
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