Organization
MARK T. HANSTEIN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK TANNER HANSTEIN D.D.S. (OWNER)
(405) 235-7288
Entity
Organization
Contact information
Practice address
201 ROBERT S KERR AVE, SUITE 521, OKLAHOMA CITY, OK 73102-4223
(405) 235-7288
(405) 235-9581
Mailing address
201 ROBERT S KERR AVE, SUITE 521, OKLAHOMA CITY, OK 73102-4223
(405) 235-7288
(405) 235-9581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4693
OK
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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