Individual
MICHAEL ANTHONY WADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4015 N FLOOD AVE, NORMAN, OK 73069-8354
(405) 360-9117
Mailing address
13204 MAPLEWOOD AVE, OKLAHOMA CITY, OK 73120-1880
(918) 630-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8056
OK
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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