Individual
SKYLEIGH KINGFISHER-BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 E MELTON DR, JAY, OK 74346-2704
(918) 253-1700
Mailing address
859 E MELTON DR, JAY, OK 74346-2704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4122
OK
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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