Individual
DR. VINCENT RUSSELL WILLCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
950 MEDICAL PARK BLVD, EDMOND, OK 73013-3024
(405) 341-8804
(405) 341-4967
Mailing address
PO BOX 7326, EDMOND, OK 73083-7326
(405) 341-8804
(405) 341-4967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5969
OK
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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