Individual
ARTURO DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 N M ST, HUGO, OK 74743
(580) 326-7561
Mailing address
410 N M ST, HUGO, OK 74743-1820
(580) 326-7561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415212
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2016
Last updated
08/21/2019
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