Organization
C L PYNE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L PYNE DDS (DENTIST)
(918) 542-6886
Entity
Organization
Contact information
Practice address
21 13TH AVE NE, MIAMI, OK 74354-3331
(918) 542-6886
Mailing address
21 13TH AVE NE, MIAMI, OK 74354-3331
(918) 542-6886
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3125
OK
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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