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Individual

DR. ZACHARY DACUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5444
Mailing address
4240 WAKE FOREST RD, EDMOND, OK 73034-9222

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6561
OK
1223G0001X
General Practice Dentistry
1120
WY

Other

Enumeration date
02/28/2007
Last updated
02/22/2015
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