Individual
ERICA DANIELLE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N OKLAHOMA AVE, TAHLEQUAH, OK 74464-2411
(918) 207-8148
Mailing address
715 N OKLAHOMA AVE, TAHLEQUAH, OK 74464-2411
(918) 207-8148
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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