Organization
ANTLERS FAMILY DENTIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TWANA DUNCAN DDS (PRESIDENT)
(580) 298-5581
Entity
Organization
Contact information
Practice address
107 NE F ST, ANTLERS, OK 74523-2603
(580) 298-5581
(580) 298-3310
Mailing address
107 NE F ST, ANTLERS, OK 74523-2603
(580) 298-5581
(580) 298-3310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5049
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100846880A
—
OK
01
—
796050
UNITED CONCORDIA PPO
OK
Enumeration date
02/22/2007
Last updated
03/28/2013
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