Individual
MIRANDA NICOLE SCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5031 E 116TH ST N, SPERRY, OK 74073-4199
(918) 288-7695
Mailing address
13318 E 89TH ST N, OWASSO, OK 74055-4777
(479) 651-3978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7588
OK
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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