Organization
COWETA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE WARLICK MS (OFFICE MANAGER)
(918) 289-9405
Entity
Organization
Contact information
Practice address
129 S BROADWAY, COWETA, OK 74429-4101
(918) 279-8880
Mailing address
129 S BROADWAY, COWETA, OK 74429-4101
(918) 279-8880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
OK
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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