Organization
LEISHA V. EVERETT,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEISHA VON EVERETT DDS (OWNER)
(405) 376-6565
Entity
Organization
Contact information
Practice address
1100 N MUSTANG RD, MUSTANG, OK 73064-7201
(405) 376-6565
(405) 376-2443
Mailing address
1100 N MUSTANG RD, MUSTANG, OK 73064-7201
(405) 376-6565
(405) 376-2443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5108
OK
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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