Individual
DR. RON AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1202 E MAIN ST, TISHOMINGO, OK 73460-2409
(580) 371-2396
Mailing address
1202 E MAIN ST, TISHOMINGO, OK 73460-2409
(580) 371-2396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4011
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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