Individual
DR. JENNIFER KATHERINE HARRELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6217 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1605
(405) 896-9052
Mailing address
205 POE AVE, POTEAU, OK 74953-2414
(918) 413-4253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7439
OK
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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