Individual
TRESSIE EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
652 HAMILTON RD, FORT SILL, OK 73503-4406
(580) 442-5570
(580) 442-4002
Mailing address
652 HAMILTON RD, FORT SILL, OK 73503-4406
(580) 442-5570
(580) 442-4002
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4002
AL
Other
Enumeration date
06/03/2016
Last updated
08/24/2016
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