Cornerstone Dental Pllc | |
1601 Airport Dr Shawnee OK 74804-4302 | |
(405) 273-1020 | |
Not Available |
Full Name | Cornerstone Dental Pllc |
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Speciality | Dentist |
Location | 1601 Airport Dr, Shawnee, Oklahoma |
Authorized Official Name and Position | Mickey Lynn Sehorn (PRESIDENT) |
Authorized Official Contact | 4052731020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cornerstone Dental Pllc 1601 Airport Dr Shawnee OK 74804-4302 Ph: (405) 273-1020 | Cornerstone Dental Pllc 1601 Airport Dr Shawnee OK 74804-4302 Ph: (405) 273-1020 |
NPI Number | 1467612937 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467612937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4264 (Oklahoma) | Primary |
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