Individual
ROY GUEST MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13000 SOUTH MEMORIAL DRIVE, BIXBY, OK 74008
(918) 369-1202
Mailing address
13000 SOUTH MEMORIAL DRIVE, BIXBY, OK 74008
(918) 369-1202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4417
OK
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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