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Individual

DR. RICHARD SAM HOMSEY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1400 SE 4TH ST STE A, MOORE, OK 73160-7328
(405) 794-4497
(405) 794-1922
Mailing address
1400 SE 4TH ST STE A, MOORE, OK 73160-7328
(405) 794-4497
(405) 794-1922

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6248
OK

Other

Enumeration date
01/06/2011
Last updated
01/06/2011
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