Organization
WEATHERFORD DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN CLARK VILLINES DDS (DENTIST)
(580) 772-2471
Entity
Organization
Contact information
Practice address
1325 N. WASHINGTON STREET, WEATHERFORD, OK 73096
(580) 772-2471
(580) 772-2436
Mailing address
1325 N. WASHINGTON STREET, WEATHERFORD, OK 73096
(580) 772-2471
(580) 772-2436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5446
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126540A
—
OK
Enumeration date
08/27/2012
Last updated
08/27/2012
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