Organization
RON AUSTIN, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON AUSTIN DDS (PRESIDENT)
(580) 371-2396
Entity
Organization
Contact information
Practice address
1202 E MAIN ST, TISHOMINGO, OK 73460-2409
(580) 371-2396
(580) 371-9785
Mailing address
1202 E MAIN ST, TISHOMINGO, OK 73460-2409
(580) 371-2396
(580) 371-9785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4011
OK
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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