Organization
MADILL DENTAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W WEEMS (OWNER/DENTIST)
(580) 332-9447
Entity
Organization
Contact information
Practice address
804 S 1ST ST SUITE C, MADILL, OK 73446
(580) 795-3360
(580) 795-3363
Mailing address
331 S RENNIE ST, ADA, OK 74820
(580) 332-9447
(580) 332-5446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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