Individual
DR. MICHAEL ELLIOTT AITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1020 18TH ST, WOODWARD, OK 73801-2902
(580) 254-0039
(580) 254-2080
Mailing address
1020 18TH ST, WOODWARD, OK 73801-2902
(580) 254-0039
(580) 254-2080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
AZ4901
AZ
1223G0001X
General Practice Dentistry
Primary
OK5142
OK
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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