Individual
DR. JENNIFER M. KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3 E MACARTHUR ST, SHAWNEE, OK 74804-2141
(405) 275-4581
(405) 214-4409
Mailing address
3 E MACARTHUR ST, SHAWNEE, OK 74804-2141
(405) 275-4581
(405) 214-4409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6485
OK
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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