Individual
DR. CLINTON WADE EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
800 W MISSION ST, BROKEN ARROW, OK 74012-2599
(918) 459-0092
(918) 455-0270
Mailing address
800 W MISSION ST, BROKEN ARROW, OK 74012-2599
(918) 459-0092
(918) 455-0270
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
SPECIALTY 153
OK
Other
Enumeration date
04/12/2007
Last updated
12/02/2019
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