Individual
PHILLIP WADE CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 W MEMORIAL RD, #507, OKLAHOMA CITY, OK 73120-9350
(405) 751-0018
(405) 751-0671
Mailing address
4200 W MEMORIAL RD, #507, OKLAHOMA CITY, OK 73120-9350
(405) 751-0018
(405) 751-0671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4868
OK
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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