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Individual

MR. JOE B ISAACSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3621 NW 63RD ST, OKLAHOMA CITY, OK 73116-2041
(405) 943-8575
(405) 463-0583
Mailing address
3621 NW 63RD ST, OKLAHOMA CITY, OK 73116-2041
(405) 943-8575
(405) 463-0583

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5113
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5113
DENTIST
OK
Enumeration date
08/26/2005
Last updated
07/08/2007
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