Individual
KALENA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
Mailing address
222 S B ST, ARKANSAS CITY, KS 67005-2720
(620) 441-7240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61678
KS
1223G0001X
General Practice Dentistry
Primary
7235
OK
Other
Enumeration date
07/23/2019
Last updated
02/28/2024
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