Organization
ABSOLUTE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PHILLIP MCKINNEY DDS (VICE PRES.)
(918) 479-8020
Entity
Organization
Contact information
Practice address
409 E. MAIN STREET, LOCUST GROVE, OK 74352-1365
(918) 479-8020
Mailing address
PO BOX 1365, LOCUST GROVE, OK 74352-1365
(918) 479-8020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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