Individual
GENTRY REBECCA LONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 687-0201
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 687-0201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6766
OK
Other
Enumeration date
08/26/2015
Last updated
11/29/2016
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