Organization
SUMMER DENTAL YUKON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCBAY (CREDENTIALING SPECIALIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
12444 NW 10TH ST., BLDG H, STE 107, YUKON, OK 73099
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
06/15/2018
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