Organization
TALIHINA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE W MCNATT D.D.S. (PRESIDENT)
(918) 567-3961
Entity
Organization
Contact information
Practice address
200 DALLAS ST, TALIHINA, OK 74571-2402
(918) 567-3961
(918) 567-3424
Mailing address
PO BOX 695, TALIHINA, OK 74571-0695
(918) 230-8105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100736120A
—
OK
Enumeration date
06/13/2007
Last updated
09/30/2008
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