Individual
DR. DARRELL R DEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
503 N. MAIN, SEILING, OK 73663
(580) 922-3162
(580) 922-3162
Mailing address
PO BOX 205, 503 N MAIN, SEILING, OK 73663-0205
(580) 922-3162
(580) 922-3162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3050
OK
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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