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Individual

RYAN K NOAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
148 W MAIN ST, SUITE D, GLENPOOL, OK 74033-3962
(918) 321-2000
(918) 321-2766
Mailing address
148 W MAIN ST, SUITE D, GLENPOOL, OK 74033-3962
(918) 321-2000
(918) 321-2766

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6070
OK

Other

Enumeration date
10/23/2008
Last updated
05/11/2011
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