Individual
DR. MARC BRENT PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 E WASHINGTON, IDABEL, OK 74745
(580) 286-4444
(580) 286-7632
Mailing address
1210 E WASHINGTON, IDABEL, OK 74745
(580) 286-4444
(580) 286-7632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5579
OK
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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