Organization
HWE MARIGNY, PLC
Active
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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