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Individual

DR. JUSTIN BATTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1222 N FLORENCE AVE, CLAREMORE, OK 74017-3147
(918) 341-3933
(918) 342-8820
Mailing address
1222 N FLORENCE AVE, CLAREMORE, OK 74017-3147
(918) 341-3933
(918) 342-8820

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
731138816
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200068010 A
OK
Enumeration date
04/19/2007
Last updated
07/09/2007
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