Individual
MRS. MISTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 270 & 56 JCT, WEWOKA, OK 74884
(405) 257-7310
(405) 257-2696
Mailing address
HWY 270 & 56 JCT, WEWOKA, OK 74884
(405) 257-7310
(405) 257-2696
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3022
OK
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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