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Organization
COALGATE DENTAL CLINIC PC
Active
Organization
COALGATE DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A KING DDS (DENTIST PRESIDENT)
(580) 927-2331
Entity
Organization
Contact information
Practice address
405 W CLAY, COALGATE, OK 74538
(580) 927-2331
(580) 927-2332
Mailing address
405 W CLAY, COALGATE, OK 74538
(580) 927-2331
(580) 927-2332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5382
OK
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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