Organization
CMH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY MARLENE HOUSLEY DDS (OWNER)
(405) 265-3131
Entity
Organization
Contact information
Practice address
416 S MUSTANG RD, SUITE A, YUKON, OK 73099-7314
(405) 265-3131
(405) 265-2479
Mailing address
416 S MUSTANG RD, SUITE A, YUKON, OK 73099-7314
(405) 265-3131
(405) 265-2479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5788
OK
Other
Enumeration date
03/18/2008
Last updated
06/30/2008
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