Individual
RYAN JOEL FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
519 S SANTA FE AVE, EDMOND, OK 73003-6281
(405) 844-6100
Mailing address
519 S SANTA FE AVE, EDMOND, OK 73003-6281
(405) 844-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7042
OK
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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