Organization
BLACKWELL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MARTIN NEALE DDS (OWNER)
(580) 363-0728
Entity
Organization
Contact information
Practice address
1520 S MAIN ST, BLACKWELL, OK 74631-4941
(918) 960-4013
Mailing address
1520 S MAIN ST, BLACKWELL, OK 74631-4941
(918) 960-4013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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