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Individual
DR. MATTHEW RAYMOND RADANT
Active
Individual
DR. MATTHEW RAYMOND RADANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7455
OK
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
35081
OK
208600000X
Surgery Physician
35081
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200981500A
—
OK
Enumeration date
08/11/2011
Last updated
12/11/2024
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