Individual
DR. KIM LEE MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3764 SOUTH ELM PLACE, BROKEN ARROW, OK 74011
(918) 451-9066
(918) 451-9069
Mailing address
3764 SOUTH ELM PL, BROKEN ARROW, OK 74011-1803
(918) 451-9066
(918) 451-9069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4300
OK
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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