Individual
VERONICA LUCIA FUENMAYOR ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 W KENOSHA ST, BROKEN ARROW, OK 74012-8949
(918) 307-0909
Mailing address
3451 W KENOSHA ST, BROKEN ARROW, OK 74012-8949
(918) 307-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7913
OK
Other
Enumeration date
06/23/2023
Last updated
08/13/2024
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