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Organization

OWASSO PERIODONTICS AND DENTAL IMPLANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID T. STAPLETON DDS (PERIODONTIST)
(918) 376-2191
Entity
Organization

Contact information

Practice address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 376-2191
Mailing address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 376-2191

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5727
OK

Other

Enumeration date
04/08/2009
Last updated
04/08/2009
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