Individual
JACOB RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
309 SW 59TH ST STE 105, OKLAHOMA CITY, OK 73109-8322
(405) 631-2700
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7215
OK
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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