Marietta Family Dentistry | |
108 S 2nd Ave Marietta OK 73448-2671 | |
(580) 276-3055 | |
Not Available |
Full Name | Marietta Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 108 S 2nd Ave, Marietta, Oklahoma |
Authorized Official Name and Position | William Robert Jennings (OWNER) |
Authorized Official Contact | 9402068956 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marietta Family Dentistry 2109 Commerce St Ste 200 Dallas TX 75201-4305 Ph: (972) 248-1221 | Marietta Family Dentistry 108 S 2nd Ave Marietta OK 73448-2671 Ph: (580) 276-3055 |
NPI Number | 1316528961 |
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Provider Enumeration Date | 04/15/2021 |
Last Update Date | 04/15/2021 |
Identifier | Type | State | Issuer |
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1316528961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |