Individual
KATHLEEN ADOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
.D.D.S.
Contact information
Practice address
800 W FORREST AVE, EUFAULA, OK 74432-3249
(918) 689-2547
(918) 689-3643
Mailing address
1801 E 4TH ST, OKMULGEE, OK 74447-3942
(918) 756-4333
(918) 759-2081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4960
OK
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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