Individual
RONALD HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 758-2700
(918) 758-2703
Mailing address
1801 E 4TH ST, OKMULGEE, OK 74447-3942
(918) 756-4333
(918) 759-2081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
05356
OK
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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