Individual
DR. JAKE RYAN HIGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
6217 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1605
(405) 606-7123
Mailing address
6217 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1605
(405) 606-7123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6542
OK
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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