Organization
CANTWELL DENTAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN DENISE CANTWELL DDS (CEO/DENTIST)
(405) 542-3700
Entity
Organization
Contact information
Practice address
109 1/2 EAST MAIN STREET, HINTON, OK 73047-1002
(405) 542-3700
(405) 542-3785
Mailing address
109 1/2 EAST MAIN STREET, BOX 1002, HINTON, OK 73047-1002
(405) 542-3700
(405) 542-3785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5047
OK
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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