Individual
DR. LEISHA V EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
MY DENTIST 4420 I-40 SERVICE ROAD, OKLAHOMA CITY, OK 73108-1896
(405) 948-8779
(405) 948-8773
Mailing address
MY DENTIST 4420 I-40 SERVICE ROAD, OKLAHOMA CITY, OK 73108-1896
(405) 948-8779
(405) 948-8773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5180
OK
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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