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Individual

DR. JESSE RAY HOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1921 STONECIPHER BOULEVARD, ADA, OK 74820-3439
(580) 421-4596
(580) 421-4595
Mailing address
1921 STONECIPHER BOULEVARD, ADA, OK 74820-3439
(580) 421-4596
(580) 421-4595

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6106
OK

Other

Enumeration date
07/07/2009
Last updated
05/18/2015
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