Individual
MICHAEL HURD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
27685 S 170 RD, HENRYETTA, OK 74437-1427
(918) 650-2344
Mailing address
27685 S 170 RD, HENRYETTA, OK 74437-1427
(918) 650-2344
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1946
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12
—
OK
Enumeration date
08/16/2016
Last updated
08/16/2016
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