Individual
DR. HANS CHARLES IGOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
803 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 332-3010
(580) 332-1302
Mailing address
3054 SUMMERCREST DR, PEARLAND, TX 77584-5103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30534
TX
122300000X
Dentist
6491
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
231
OK
Other
Enumeration date
05/24/2013
Last updated
01/06/2023
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