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Individual

DR. RYAN V NOWLIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
5010 E 68TH ST, TULSA, OK 74136-3323
(918) 492-6464
(918) 492-3881
Mailing address
5010 E 68TH ST, TULSA, OK 74136-3305
(918) 492-6464
(918) 492-3881

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5553
OK

Other

Enumeration date
07/27/2005
Last updated
07/09/2007
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