Individual
ROY LEAFORD THORNBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1605 NORTH WATTS STREET, SAYRE, OK 73662
(580) 928-5581
Mailing address
PO BOX 445, SAYRE, OK 73662-0445
(580) 928-5581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4533
OK
Other
Enumeration date
08/07/2006
Last updated
07/09/2007
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