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Organization
MATTHEW KINCAID DDS PLLC
Active
Organization
MATTHEW KINCAID DDS PLLC
Active
Other names
Kincaid Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW KINCAID DDS (OWNER)
(918) 258-8515
Entity
Organization
Contact information
Practice address
1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
(918) 258-8515
Mailing address
1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
(918) 258-8515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6219
OK
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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