Organization
CUSTOM DENTAL OF ATOKA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW D HOOKOM D.D.S. (DENTIST)
(405) 282-6440
Entity
Organization
Contact information
Practice address
1306 W. LIBERTY ROAD, ATOKA, OK 74525-6063
(405) 282-6440
(405) 282-6785
Mailing address
2001 S DIVISION ST, GUTHRIE, OK 73044-6063
(405) 282-6440
(405) 282-6785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6105
OK
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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