Individual
DR. KLEBER MAURICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4520 MARKET PLACE BLVD STE A, SHAWNEE, OK 74804-0805
(405) 695-5038
Mailing address
4520 MARKET PLACE BLVD STE A, SHAWNEE, OK 74804-0805
(405) 695-5038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37411
TX
Other
Enumeration date
07/13/2021
Last updated
09/19/2023
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