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Organization
JERRY L. THORMAN, DDS, INC.
Active
Organization
JERRY L. THORMAN, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L. THORMAN DDS (PRESIDENT)
(918) 756-4933
Entity
Organization
Contact information
Practice address
500 E 8TH ST, OKMULGEE, OK 74447-5503
(918) 756-4933
(918) 756-7781
Mailing address
500 E 8TH ST, OKMULGEE, OK 74447-5503
(918) 756-4933
(918) 756-7781
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3202
OK
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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