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Organization

KAW NATION

Active
Parent organization
KAW NATION DBA KANZA DENTAL CLINIC
Other names
Kanza Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
KAW NATION DBA KANZA DENTAL CLINIC
Authorized official
MRS. ELAINE HUCH (KAW NATION CHAIR)
(580) 269-2552
Entity
Organization

Contact information

Practice address
3151 E. RIVER RD, NEWKIRK, OK 74647
(580) 362-1944
(580) 362-2988
Mailing address
3151 E. RIVER RD, NEWKIRK, OK 74647
(580) 362-1944
(580) 362-2988

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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