Individual
KENAN LEROY DENTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
318 W MAIN ST, BOISE CITY, OK 73933-9607
(580) 544-3441
(405) 767-0905
Mailing address
PO BOX 97, BOISE CITY, OK 73933-0097
(580) 544-3441
(405) 767-0905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17563
OK
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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