Individual
DR. LEROY PLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
417 E DON TYLER AVE, DEWEY, OK 74029-2315
(918) 534-3170
(918) 534-1522
Mailing address
417 E. DON TYLER AVE, DEWEY, OK 74029-2315
(918) 534-3170
(918) 534-1522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2719
OK
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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