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Individual

DR. CHARLES DAVID JONES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8811 E RENO AVE, SUITE 102, MIDWEST CITY, OK 73110-7731
(405) 737-7613
(405) 737-5135
Mailing address
8811 EAST RENO, SUITE 102, MIDWEST CITY, OK 73110-7726
(405) 737-7613
(405) 737-5135

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3938
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000042820A
OK
Enumeration date
10/17/2006
Last updated
07/08/2007
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