Organization
PROUD DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN NICHOLAS PROUD D.D.S. (DR/OWNER)
(405) 282-2530
Entity
Organization
Contact information
Practice address
324 N 19TH ST, SUITE 2, GUTHRIE, OK 73044-2117
(405) 282-2530
(405) 282-2537
Mailing address
324 N. 19 ST., SUITE 2, GUTHRIE, OK 73044
(405) 282-2530
(405) 282-2537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6152
OK
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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