Organization
ADOLPH FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PHILLIP ADOLPH DDS (DOCTOR DENTAL SURGERY)
(918) 756-0270
Entity
Organization
Contact information
Practice address
112 N GRAND, OKMULGEE, OK 74447
(918) 756-0270
(918) 756-0283
Mailing address
112 N GRAND, OKMULGEE, OK 74447
(918) 756-0270
(918) 756-0283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4862
OK
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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