Individual
GRANT D PITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
701 SHEDECK PARKWAY, YUKON, OK 73099
(405) 350-1133
(405) 350-1139
Mailing address
701 SHEDECK PARKWAY, YUKON, OK 73099
(405) 350-1133
(405) 350-1139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5978
OK
Other
Enumeration date
09/26/2007
Last updated
05/13/2008
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