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Individual

WILLIAM M NYQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11720 E 21ST ST, SUITE A, TULSA, OK 74129-1824
(918) 437-9111
(918) 437-1684
Mailing address
11720 E 21ST ST, SUITE A, TULSA, OK 74129-1824
(918) 437-9111
(918) 437-1684

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4127O
OK

Other

Enumeration date
08/11/2005
Last updated
09/27/2007
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