Organization
DR G BRET ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET G ANDERSON DDS (OWNER/PRESIDENT)
(918) 756-3718
Entity
Organization
Contact information
Practice address
421 E 5TH ST, OKMULGEE, OK 74447-4042
(918) 756-3718
(918) 756-8469
Mailing address
421 E 5TH ST, OKMULGEE, OK 74447-4042
(918) 756-3718
(918) 756-8469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5044
OK
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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