Individual
DR. MOHAMMED R. KAYYALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 319-6027
Mailing address
2231 S ROCKFORD PKWY, ARDMORE, OK 73401-3031
(580) 319-6027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6928
OK
Other
Enumeration date
06/03/2017
Last updated
06/03/2017
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