Individual
DR. K. TIM MOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
216 E 8TH ST, OKMULGEE, OK 74447-4614
(918) 756-9363
(918) 756-9364
Mailing address
216 E 8TH ST, OKMULGEE, OK 74447-4614
(918) 756-9363
(918) 756-9364
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4851
OK
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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