Individual
MARY KIRKPATRICK KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1308 N KELLY AVE, EDMOND, OK 73003-3906
(405) 216-5299
(405) 216-3358
Mailing address
3105 KIRBY WHITTEN RD, BARTLETT, TN 38134-2822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10775
TN
122300000X
Dentist
Primary
7653
OK
Other
Enumeration date
06/06/2018
Last updated
03/30/2023
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