Individual
MICHAEL HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-6486
Mailing address
220 NW 34TH ST, OKLAHOMA CITY, OK 73118-8616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7050
OK
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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