Organization
MT LINCOLN PLLC
Active
Other names
Dental Depot of Yukon
Organization subpart
No
Provider details
NPI number
Authorized official
BRYSON POGSON (DIR. OF BUSINESS DEVELOPMENT)
(405) 945-8941
Entity
Organization
Contact information
Practice address
701 SHEDECK PARKWAY, YUKON, OK 73099
(405) 350-1133
(405) 350-1139
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(405) 350-1133
(405) 350-1139
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3723
OK
Other
Enumeration date
04/18/2008
Last updated
06/25/2021
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