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Individual

JOHN ARCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10914 HEFNER POINTE DR, SUITE 300, OKLAHOMA CITY, OK 73120-5066
(405) 947-1526
(405) 946-2460
Mailing address
10914 HEFNER POINTE DR, SUITE 300, OKLAHOMA CITY, OK 73120-5066
(405) 947-1526
(405) 946-2460

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5065
OK

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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