Individual
DR. GEOFFREY ALLEN PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4200 W MEMORIAL RD STE 809, OKLAHOMA CITY, OK 73120-8305
(405) 755-2670
Mailing address
4200 W MEMORIAL RD STE 809, OKLAHOMA CITY, OK 73120-8305
(405) 755-2670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK3482
OK
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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