Individual
DR. WILLIAM JACK MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18 E DUNLOUP, SHAWNEE, OK 74804-3203
(405) 275-7520
(405) 275-4787
Mailing address
18 E DUNLOUP, SHAWNEE, OK 74804-3203
(405) 275-7520
(405) 275-4787
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3728
OK
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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