Individual
DR. REBECCA J. KING RACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5579
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5579
(405) 271-4055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4579
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100826780C
—
OK
Enumeration date
08/18/2006
Last updated
07/01/2019
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