Organization
DAVID L. BOONE, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LYNN BOONE DDS (OWNER/PRESIDENT)
(580) 323-1177
Entity
Organization
Contact information
Practice address
519 S 30TH ST, CLINTON, OK 73601-3632
(580) 323-1177
(580) 323-1178
Mailing address
519 S 30TH ST, CLINTON, OK 73601-3632
(580) 323-1177
(580) 323-1178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3924
OK
Other
Enumeration date
01/14/2008
Last updated
05/13/2014
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