Organization
WALLACE G HASKETT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE G HASKETT (OWNER/ PRESIDENT)
(405) 364-6064
Entity
Organization
Contact information
Practice address
707 24TH AVE SW, NORMAN, OK 73069
(405) 364-6064
Mailing address
707 24TH AVE SW, NORMAN, OK 73069-3987
(405) 364-6064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3844
OK
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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