Individual
MATTHEW J MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 E STATE HIGHWAY 152 STE 113, MUSTANG, OK 73064-5131
(405) 353-1388
Mailing address
1001 E STATE HIGHWAY 152 STE 113, MUSTANG, OK 73064-5131
(405) 353-1388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
T-7343
OK
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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