Organization
MATTHEW KINCAID DDS PLLC
Active
Other names
Kincaid Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW KINCAID DDS (OWNER)
(918) 258-8515
Entity
Organization
Contact information
Practice address
1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
(918) 258-8515
Mailing address
1402 S ASPEN AVE, BROKEN ARROW, OK 74012-4807
(918) 258-8515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6219
OK
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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