Individual
DR. SURAT ATTAPHITAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
900 E PROSPECT AVE, STE 800, PONCA CITY, OK 74601-1600
(580) 765-2000
(580) 765-2001
Mailing address
900 E PROSPECT AVE, STE 800, PONCA CITY, OK 74601-1600
(580) 765-2000
(580) 765-2001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
184
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22054
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
54986
CA
Other
Enumeration date
11/08/2006
Last updated
05/21/2012
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