Individual
KAYLA-ANN NITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 E DANFORTH RD, EDMOND, OK 73034-3103
(405) 330-5458
Mailing address
3124 ASH GROVE RD, EDMOND, OK 73003-1044
(405) 920-8446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7585
OK
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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