Individual
SHANNON CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
517 W 2ND ST, ELK CITY, OK 73644-4640
(580) 225-8611
(580) 225-4971
Mailing address
517 W 2ND ST, ELK CITY, OK 73644-4640
(580) 225-8611
(580) 225-4971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5198
OK
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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