Individual
RICHARD BROOK EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
806 16TH AVE NW, ARDMORE, OK 73401-1818
(580) 223-5514
(580) 223-5908
Mailing address
806 16TH AVE NW, ARDMORE, OK 73401-1818
(580) 223-5514
(580) 223-5908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4755
OK
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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