Organization
SHARE OUR SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DALE COULSON D.D.S. (DENTIST)
(405) 354-1861
Entity
Organization
Contact information
Practice address
1025 E VANDAMENT AVE, SUITE 300, YUKON, OK 73099-4910
(405) 354-1861
(405) 354-8738
Mailing address
1025 E VANDAMENT AVE, SUITE 300, YUKON, OK 73099-4910
(405) 354-1861
(405) 354-8738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4351
OK
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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