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Organization
KAW NATION
Active
Organization
KAW NATION
Active
Parent organization
KAW NATION DBA KANZA DENTAL CLINIC
Other names
Kanza Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAW NATION DBA KANZA DENTAL CLINIC
Authorized official
MRS. ELAINE HUCH (KAW NATION CHAIR)
(580) 269-2552
Entity
Organization
Contact information
Practice address
3151 E. RIVER RD, NEWKIRK, OK 74647
(580) 362-1944
(580) 362-2988
Mailing address
3151 E. RIVER RD, NEWKIRK, OK 74647
(580) 362-1944
(580) 362-2988
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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