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Individual

MEHWISH NOUMAN JAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
1200 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4866
(877) 970-6445
Mailing address
3312 TECUMSEH MEADOWS WAY, NORMAN, OK 73069
(405) 366-6277

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6611
OK

Other

Enumeration date
06/20/2014
Last updated
06/20/2014
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