Individual
DR. KRISTIN ELIZABETH KOTECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1939 N GREEN AVE, PURCELL, OK 73080-1733
(405) 527-7388
Mailing address
2509 ELWOOD DR, EDMOND, OK 73013-4421
(641) 430-6008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7119
OK
1223G0001X
General Practice Dentistry
7119
OK
Other
Enumeration date
08/29/2018
Last updated
04/02/2019
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