Organization
CORNERSTONE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICKEY LYNN SEHORN D.D.S. (PRESIDENT)
(405) 273-1020
Entity
Organization
Contact information
Practice address
1601 AIRPORT DR, SHAWNEE, OK 74804-4302
(405) 273-1020
Mailing address
1601 AIRPORT DR, SHAWNEE, OK 74804-4302
(405) 273-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4264
OK
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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