Individual
WILLIAM TERRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4596
(580) 421-4595
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4596
(580) 421-4595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4388
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304388
—
OK
Enumeration date
06/01/2007
Last updated
10/19/2011
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