Individual
CRAIG ALLEN WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13301 N MERIDIAN AVE, BUILDING 100, SUITE 101, OKLAHOMA CITY, OK 73120-9369
(405) 751-7600
(405) 751-7618
Mailing address
13301 N MERIDIAN AVE, BUILDING 100, SUITE 101, OKLAHOMA CITY, OK 73120-9369
(405) 751-7600
(405) 751-7618
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5181
OK
Other
Enumeration date
07/31/2006
Last updated
09/27/2016
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