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711 Sw 19th Street Suite 100 Moore OK 73160 | |
| (972) 212-8135 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 711 Sw 19th Street, Moore, Oklahoma |
| Authorized Official Name and Position | Paul Peek (PC OWNER/DENTIST) |
| Authorized Official Contact | 9722128135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6501 Windcrest Dr Ste 100 Plano TX 75024-3087 Ph: (972) 212-8135 | 711 Sw 19th Street Suite 100 Moore OK 73160 Ph: (972) 212-8135 |
| NPI Number | 1306186796 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 03/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306186796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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