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Individual

DR. CLAY WESLEY ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1409 N 12TH ST, FREDERICK, OK 73542-2020
(580) 335-2263
(580) 335-2283
Mailing address
1409 N. 12TH STREET, FREDERICK, OK 73542
(580) 335-2263
(580) 335-2283

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6095
OK

Other

Enumeration date
07/02/2009
Last updated
04/23/2012
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