Organization
LEON CONKLING D.D.S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON A CONKLING (DENTIST)
(405) 275-1876
Entity
Organization
Contact information
Practice address
3701 N KICKAPOO AVE, SHAWNEE, OK 74804-1703
(405) 275-1876
(405) 275-1143
Mailing address
3701 N KICKAPOO AVE, SHAWNEE, OK 74804
(405) 275-1876
(405) 275-1143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3528
OK
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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