Individual
DR. JEFFERY REID HOLYOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9405 N PENNSYLVANIA PL, OKLAHOMA CITY, OK 73120-3801
(405) 753-9090
Mailing address
2508 NW 179TH CT, EDMOND, OK 73012-0669
(405) 503-7593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6192
OK
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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