FOOTHILLS ORAL & MAXILLOFACIAL SURGERY

TAHLEQUAH, OK
NPI1942521687
Entity TypeOrganization
Authorized ContactMICHAEL PAUL WINKLER
CEO
918-457-9779
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  147)
Enumeration Date2010-06-17
Last Update Date2010-06-17
Business Address
FOOTHILLS ORAL & MAXILLOFACIAL SURGERY
1500 E DOWNING ST
TAHLEQUAH, OK 74464-3234
Phone number: 918-456-0671
Mailing Address
FOOTHILLS ORAL & MAXILLOFACIAL SURGERY
29062 S 558 RD
PARK HILL, OK 74451-2876
Phone number: 918-457-9779