Individual
MARY DWAYNA TEMPLE GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1220 MERRICK DR, ARDMORE, OK 73401-1824
(580) 223-6720
Mailing address
22716 N COUNTY ROAD 3190, ELMORE CITY, OK 73433-9289
(405) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7314
OK
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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