Individual
MR. JUSTEN BRENT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5031 E 116TH ST N, SPERRY, OK 74073-4199
(918) 288-7695
(918) 288-7695
Mailing address
5031 E 116TH ST N, SPERRY, OK 74073-4199
(918) 288-7695
(918) 288-7695
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4183
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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