Individual
DR. GRAHAM THOMAS SHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE RM 241, OKLAHOMA CITY, OK 73117-1214
(405) 271-5222
Mailing address
123 NE 2ND ST APT 253, OKLAHOMA CITY, OK 73104-2260
(913) 744-7442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7323
OK
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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