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Individual

DR. MARILYN JUNE HIEBERT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
414 E STATE RD, FAIRVIEW, OK 73737-1330
(580) 227-4464
(580) 227-4465
Mailing address
414 E STATE RD, FAIRVIEW, OK 73737-1330
(580) 227-4464
(580) 227-4465

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4757
OK

Other

Enumeration date
08/10/2005
Last updated
07/08/2007
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