Individual
DR. SUNEEL MAKINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4866
(405) 494-8092
Mailing address
17429 HAWKS TREE LN, EDMOND, OK 73012-7079
(408) 834-6398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7126
OK
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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