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Organization
GREGORY S. SHANBOUR, D.D.S., M.S.
Active
Organization
GREGORY S. SHANBOUR, D.D.S., M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S SHANBOUR (OWNER)
(405) 634-2239
Entity
Organization
Contact information
Practice address
8117 S WALKER AVE, OKLAHOMA CITY, OK 73139-9476
(405) 634-2239
(405) 634-3598
Mailing address
8117 S WALKER AVE, OKLAHOMA CITY, OK 73139-9476
(405) 634-2239
(405) 634-3598
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4585
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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