Individual
WESLEY JENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1523 S MAIN ST, SHATTUCK, OK 73858-9223
(580) 938-2566
Mailing address
1523 S MAIN ST, SHATTUCK, OK 73858-9223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7282
OK
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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