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1821276817
WAGONER FAMILY DENTISTRY, PC
WAGONER, OK
NPI
1821276817
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Entity Type
Organization
Authorized Contact
MICHAEL K CRAIG
Owner
918-485-2200
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 5069)
Enumeration Date
2008-02-01
Last Update Date
2008-02-01
Business Address
WAGONER FAMILY DENTISTRY, PC
900 E CHEROKEE ST
WAGONER, OK 74467-4718
Phone number: 918-485-2200
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Mailing Address
WAGONER FAMILY DENTISTRY, PC
900 E CHEROKEE ST
WAGONER, OK 74467-4718
Phone number: 918-485-2200
Copy
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