Individual
DR. RONNIE GENE LEVERICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1315 S HOLLY AVE, YUKON, OK 73099-5407
(405) 354-4806
Mailing address
1121 RIVER BIRCH DR, YUKON, OK 73099-7402
(405) 354-7942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3852
OK
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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