Individual
MARK JAMES REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2214 W BOYD ST, NORMAN, OK 73069-4836
(405) 321-2735
(405) 321-7877
Mailing address
2214 W BOYD ST, NORMAN, OK 73069-4836
(405) 321-2735
(405) 321-7877
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
166
OK
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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