Individual
INA SUKUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 TAYLER ST, EDMOND, OK 73003-2134
(405) 844-6333
Mailing address
2600 TAYLER ST, EDMOND, OK 73003-2134
(405) 844-6333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7863
OK
Other
Enumeration date
06/12/2024
Last updated
06/24/2024
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