Organization
DENTAL ARTS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R MABRY D.D.S. (PARTNER)
(580) 234-4562
Entity
Organization
Contact information
Practice address
623 W BROADWAY AVE, ENID, OK 73701-3843
(580) 234-4562
(580) 233-1190
Mailing address
PO BOX 1308, ENID, OK 73702-1308
(580) 234-4562
(580) 233-1190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3750
OK
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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