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Organization
WESLEY E. NIPPER DDS PC
Active
Organization
WESLEY E. NIPPER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY E NIPPER DDS (DOCTOR)
(580) 762-7551
Entity
Organization
Contact information
Practice address
400 FAIRVIEW AVE, SUITE 7, PONCA CITY, OK 74601-1920
(580) 762-7551
Mailing address
400 FAIRVIEW AVE, SUITE 7, PONCA CITY, OK 74601-1920
(580) 762-7551
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1048
OK
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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