Individual
VIC HILL TRAMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2950 S ELM PL, STE 340, BROKEN ARROW, OK 74012-7877
(918) 451-0944
(918) 455-8958
Mailing address
4308 W EDGEWATER ST, BROKEN ARROW, OK 74012-9433
(918) 252-5701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4676
OK
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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