Organization
FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINT WHITEFIELD DDS (DENTIST)
(580) 762-5624
Entity
Organization
Contact information
Practice address
1618 N 5TH ST STE 2, PONCA CITY, OK 74601-2764
(580) 762-5624
Mailing address
1618 N 5TH ST STE 2, PONCA CITY, OK 74601-2764
(580) 762-5624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7645
OK
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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