Organization
MARK E. METTRY DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLIS METTRY D.D.S. (OWNER)
(405) 224-7036
Entity
Organization
Contact information
Practice address
839 W COUNTRY CLUB RD, CHICKASHA, OK 73018-7281
(405) 224-7036
(405) 224-2702
Mailing address
839 W COUNTRY CLUB RD, CHICKASHA, OK 73018-7281
(405) 224-7036
(405) 224-2702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3949
OK
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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