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Individual

DR. BILL N/A GLADD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1011 N MAIN ST, ELK CITY, OK 73644-2830
(580) 225-4436
(580) 225-6846
Mailing address
PO BOX 1975, ELK CITY, OK 73648-1975
(580) 225-4436
(580) 225-6846

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
73-1256577
OK

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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