Individual
JANDRA KORB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
244 S SCRAPER ST, VINITA, OK 74301-3740
(918) 256-6441
Mailing address
244 S SCRAPER ST, VINITA, OK 74301-3740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5490
OK
Other
Enumeration date
12/19/2007
Last updated
01/04/2018
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