Individual
DR. COLE DALTON MANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
1315 NW 12TH ST, OKLAHOMA CITY, OK 73106-4633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7881
OK
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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