Individual
DR. KEVIN GWYNNE MAILOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
221 W 1ST ST, CLAREMORE, OK 74017-8003
(918) 341-3008
(919) 341-9577
Mailing address
221 W 1ST ST, CLAREMORE, OK 74017-8003
(918) 341-3008
(919) 341-9577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4836
OK
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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