Individual
ZACHARY D NORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11476 S UNION ST STE 102, JENKS, OK 74037-6909
(918) 417-6511
Mailing address
2305 E WINSTON ST, BROKEN ARROW, OK 74011-7473
(936) 645-8264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7793
OK
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/17/2023
Last updated
08/21/2023
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