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Organization

YADON DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM TRENT YADON D.D.S. (DENTIST)
(580) 256-8668
Entity
Organization

Contact information

Practice address
2211 DOWNS AVE, WOODWARD, OK 73801-5309
(580) 256-8668
Mailing address
2211 DOWNS AVE, WOODWARD, OK 73801-5309
(580) 256-8668

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4852
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100683740 A
OK
Enumeration date
01/18/2013
Last updated
01/18/2013
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