Individual
PRESTON KEITH PATRICK
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
500 CENTRAL PARK DR APT 1214, OKLAHOMA CITY, OK 73105-1747
(918) 822-2268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7853
OK
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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