Individual
DR. STEFAN JACOB GELVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
503 N 14TH ST, PONCA CITY, OK 74601-4655
(580) 200-2282
Mailing address
4599 N WASHINGTON ST APT 33D, STILLWATER, OK 74075-1350
(580) 304-1800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7403
OK
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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