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Individual

DR. MYRNA BYERS DOMONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1621 S EUCALYPTUS AVE, SUITE 101, BROKEN ARROW, OK 74012-5940
(918) 250-0624
(918) 250-9437
Mailing address
1621 S EUCALYPTUS AVE, SUITE 101, BROKEN ARROW, OK 74012-5940
(918) 250-0624
(918) 250-9437

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5042
OK

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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