Individual
GEORGE KENNETH RAINS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 N FAIRLAND ST, STE 110, PRYOR, OK 74361
(918) 825-7411
(918) 825-7734
Mailing address
PO DRAWER C, PRYOR, OK 74362
(918) 825-7411
(918) 825-7734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4382
OK
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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