Organization
MIRANDA L. RULEFORD FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRANDA LOUISA RULEFORD DDS (OWNER)
(918) 756-9595
Entity
Organization
Contact information
Practice address
500 E 8TH ST, OKMULGEE, OK 74447
(918) 756-9595
(918) 756-7781
Mailing address
500 E 8TH ST, OKMULGEE, OK 74447
(918) 756-9595
(918) 756-7781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5880
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366484438
—
OK
05
—
1558475392
—
OK
Enumeration date
08/05/2014
Last updated
04/20/2022
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