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QUINT A WHITEFIELD DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QUINT ALLEN WHITEFIELD D.D.S. (OWNER)
(580) 762-5624
Entity
Organization

Contact information

Practice address
1618 N 5TH ST, SUITE #2, PONCA CITY, OK 74601-2746
(580) 762-5624
Mailing address
1618 N 5TH ST, SUITE #2, PONCA CITY, OK 74601-2746
(580) 762-5624

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5037
OK

Other

Enumeration date
04/30/2007
Last updated
09/15/2010
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