Individual
DR. ANTHONY DISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 RIDGE POINTE DR, SAPULPA, OK 74066-4463
(918) 224-3232
Mailing address
414 LINCOLN ST, SAINT PAUL, KS 66771-4076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7474
OK
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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