Organization
REGION DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN KERMIT NOAH DDS (OWNER/DOCTOR)
(918) 607-7277
Entity
Organization
Contact information
Practice address
148 W MAIN ST, SUITE D, GLENPOOL, OK 74033-3951
(918) 321-2000
(918) 321-2766
Mailing address
148 W MAIN ST, SUITE D, GLENPOOL, OK 74033-3951
(918) 321-2000
(918) 321-2766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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