Organization
DAVE'S ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GENTRY W GENTRY M.S., CCC-SLP (CEO)
(580) 759-6424
Entity
Organization
Contact information
Practice address
49167 140TH ST, BYARS, OK 74831-7305
(580) 759-6424
(580) 759-3396
Mailing address
49167 140TH ST, BYARS, OK 74831-7305
(580) 759-6424
(580) 759-3396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2719
OK
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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