Organization
RONALD M WAYT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MELVIN WAYT DDS (DENTIST PRESIDENT)
(405) 518-6259
Entity
Organization
Contact information
Practice address
1011 N BROADWAY, SUITE 7, TECUMSEH, OK 74873-0219
(405) 598-6259
(405) 598-6259
Mailing address
PO BOX 219, TECUMSEH, OK 74873-0219
(405) 598-6259
(405) 598-6259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3083
OK
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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