Organization
PAULA VANN-DICKMANN D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REESE (OFFICE MANAGER)
(918) 683-6996
Entity
Organization
Contact information
Practice address
3500 E SHAWNEE RD, MUSKOGEE, OK 74403-1812
(918) 683-6996
(918) 683-2183
Mailing address
3500 E SHAWNEE RD, MUSKOGEE, OK 74403-1812
(918) 683-6996
(918) 683-2183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5073
OK
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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