Individual
DR. TOMMY LEO MAYHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1119 N. COUNCIL RD., BLANCHARD, OK 73010-0575
(405) 485-2020
(405) 485-8779
Mailing address
PO BOX 575, BLANCHARD, OK 73010-0575
(405) 485-2020
(405) 485-8779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4419
OK
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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