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Organization
OWASSO PERIODONTICS AND DENTAL IMPLANTS
Active
Organization
OWASSO PERIODONTICS AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T. STAPLETON DDS (PERIODONTIST)
(918) 376-2191
Entity
Organization
Contact information
Practice address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 376-2191
Mailing address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 376-2191
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5727
OK
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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