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Organization
MIRANDA L. RULEFORD FAMILY DENTISTRY
Active
Organization
MIRANDA L. RULEFORD FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRANDA LOUISA RULEFORD DDS (OWNER)
(918) 756-9595
Entity
Organization
Contact information
Practice address
500 E 8TH ST, OKMULGEE, OK 74447
(918) 756-9595
(918) 756-7781
Mailing address
500 E 8TH ST, OKMULGEE, OK 74447
(918) 756-9595
(918) 756-7781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5880
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366484438
—
OK
05
—
1558475392
—
OK
Enumeration date
08/05/2014
Last updated
04/20/2022
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