Individual
DANIEL CLARK LEDOSQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
129 S BROADWAY, COWETA, OK 74429-4101
(918) 279-8880
Mailing address
129 S BROADWAY, COWETA, OK 74429-4101
(918) 279-8880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7771
OK
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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