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Individual

PARLEY MELVIN HUBLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
611 W RUTH AVE, SALLISAW, OK 74955-6866
(918) 775-3200
Mailing address
2808 N CLYDESDALE ST, SALLISAW, OK 74955-2460
(918) 775-3200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
32845
TX
1223G0001X
General Practice Dentistry
Primary
5170
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100091070A
OK
Enumeration date
09/27/2010
Last updated
04/16/2018
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