WAGONER FAMILY DENTISTRY, PC

WAGONER, OK
NPI1821276817
Entity TypeOrganization
Authorized ContactMICHAEL K CRAIG
Owner
918-485-2200
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  5069)
Enumeration Date2008-02-01
Last Update Date2008-02-01
Business Address
WAGONER FAMILY DENTISTRY, PC
900 E CHEROKEE ST
WAGONER, OK 74467-4718
Phone number: 918-485-2200
Mailing Address
WAGONER FAMILY DENTISTRY, PC
900 E CHEROKEE ST
WAGONER, OK 74467-4718
Phone number: 918-485-2200