Individual
DR. DEREK RYAN MASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 MCGEE DR, SUITE 131, NORMAN, OK 73072-6722
(405) 321-5143
(405) 321-5350
Mailing address
2500 MCGEE DR, SUITE 131, NORMAN, OK 73072-6722
(405) 321-5143
(405) 321-5350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5489
OK
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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