Individual
DR. THOMAS KEENAN MILLSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
506 RANDOLPH, FORT SILL, OK 73503
(432) 413-1635
Mailing address
USA DENTAL HEALTH ACTIVITY, 506 RANDOLPH RD, FORT SILL, OK 73505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27162
TX
1223G0001X
General Practice Dentistry
027162
TX
1223P0700X
Prosthodontics
Primary
27162
TX
Other
Enumeration date
09/20/2011
Last updated
03/23/2022
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