Individual
DR. TERRY LEE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2213 NW 56TH TER, OKLAHOMA CITY, OK 73112-7713
(405) 826-2857
Mailing address
2213 NW 56TH TER, OKLAHOMA CITY, OK 73112-7713
(405) 826-2857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4339
OK
Other
Enumeration date
06/11/2007
Last updated
04/06/2020
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