Individual
DR. GARY PHILLIP ADOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
112 N GRAND AVE, OKMULGEE, OK 74447-4027
(918) 756-0270
(918) 756-0283
Mailing address
112 N. GRAND AVE, OKMULGEE, OK 74447
(918) 756-0270
(918) 756-0283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4862
OK
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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