Individual
RONALD DALE RISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5930 E 31ST ST, STE 305, TULSA, OK 74135-5111
(918) 627-1717
Mailing address
5930 E 31ST ST, STE 305, TULSA, OK 74135-5111
(918) 627-1717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3603
OK
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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