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Organization
ELK CREEK DENTAL CENTER, PLLC
Active
Organization
ELK CREEK DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL WILLIAM TALLEY DDS (OWNER/ DENTIST)
(580) 225-1020
Entity
Organization
Contact information
Practice address
300 N GARRETT ST, ELK CITY, OK 73644
(580) 225-1020
(580) 303-7299
Mailing address
300 N GARRETT ST, ELK CITY, OK 73644
(580) 225-1020
(580) 303-7299
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/02/2024
Last updated
07/08/2024
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