Individual
JAMES O CORWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
221 E 7TH AVE, BRISTOW, OK 74010-2503
(918) 367-3290
Mailing address
221 E 7TH AVE, BRISTOW, OK 74010-2503
(918) 367-3290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4993
OK
Other
Enumeration date
06/13/2006
Last updated
04/13/2015
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