Organization
HWE MARIGNY, PLC
Active
Other names
Emerson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON WADE EMERSON DMD (MANAGER)
(918) 459-0092
Entity
Organization
Contact information
Practice address
800 W MISSION ST, BROKEN ARROW, OK 74012-2599
(918) 459-0092
(918) 455-0270
Mailing address
800 W MISSION ST, BROKEN ARROW, OK 74012-2599
(918) 459-0092
(918) 455-0270
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
ORTHO SPECIALTY #153
OK
Other
Enumeration date
05/31/2007
Last updated
12/11/2019
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