Individual
RAYMOND DALE CLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3419 E ADMIRAL PL, TULSA, OK 74115-8209
(918) 834-1587
(918) 834-0631
Mailing address
3419 E ADMIRAL PL, TULSA, OK 74115-8209
(918) 834-1587
(918) 834-0631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4440
OK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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