Individual
DR. GLEN RAY HOECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
217 N 5TH ST, PONCA CITY, OK 74601-4538
(580) 765-4553
(580) 765-4553
Mailing address
217 N 5TH ST, PONCA CITY, OK 74601-4538
(580) 765-4553
(580) 765-4553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4114
OK
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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