Organization
PREMIER DENTAL OF WESTERN OKLAHOMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK PETE STOVER DDS (DENTIST)
(580) 225-4448
Entity
Organization
Contact information
Practice address
3102 S HIGHWAY 6, ELK CITY, OK 73644-9779
(580) 225-4448
(580) 225-4460
Mailing address
3102 S HIGHWAY 6, ELK CITY, OK 73644-9779
(580) 225-4448
(580) 225-4460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5614
OK
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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