Organization
MARY TEMPLE-GOINS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DWAYNA TEMPLE-GOINS DDS (OWNER/DENTIST)
(405) 226-8373
Entity
Organization
Contact information
Practice address
101 JAMESON DR, WYNNEWOOD, OK 73098-9561
(405) 226-8373
Mailing address
22716 N COUNTY ROAD 3190, ELMORE CITY, OK 73433-9289
(405) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952926941
—
OK
Enumeration date
05/05/2023
Last updated
05/05/2023
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