Individual
JOAN MAZA ATTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-6561
(187) 623-5439
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 355-3230
(218) 335-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020044
MI
1223P0221X
Pediatric Dentistry
Primary
140
OK
1223P0221X
Pediatric Dentistry
S141
MN
Other
Enumeration date
06/24/2009
Last updated
04/19/2023
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