Individual
QUINT ALLEN WHITEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1618 N. 5TH STREET, SUITE #2, PONCA CITY, OK 74601
(580) 762-5624
(580) 762-5644
Mailing address
1618 N. 5TH STREET, SUITE #2, PONCA CITY, OK 74601
(580) 762-5624
(580) 762-5644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5037
OK
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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