Individual
KEVIN DREESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6616 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1708
(405) 601-7852
Mailing address
400 RIVERWALK TER, JENKS, OK 74037-5606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7754
OK
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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