Individual
DR. KENNER MISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3916 E 91ST ST, TULSA, OK 74137-3602
(918) 488-8889
Mailing address
3916 E 91ST ST, TULSA, OK 74137-3602
(918) 488-8889
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6911
OK
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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