Individual
BARON CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 S 4TH ST, MCALESTER, OK 74501-5409
(918) 423-0091
Mailing address
16722 W MUD VALLEY RD, TAHLEQUAH, OK 74464-1039
(918) 457-6335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7841
OK
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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