Individual
DR. DOUGLAS SCOTT KOOKEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1950 W KENOSHA ST, BROKEN ARROW, OK 74012-8944
(918) 638-6767
Mailing address
500 N BATH AVE, OKLAHOMA CITY, OK 73117-3016
(918) 638-6767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7156
OK
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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