Walnut Ranch Dental, Pllc | |
1610 Walnut Dr Ardmore OK 73401-2331 | |
(580) 226-1244 | |
Not Available |
Full Name | Walnut Ranch Dental, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1610 Walnut Dr, Ardmore, Oklahoma |
Authorized Official Name and Position | Joseph S Treanor (DENTIST/ OWNER) |
Authorized Official Contact | 5802261244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walnut Ranch Dental, Pllc 1610 Walnut Dr Ardmore OK 73401-2331 Ph: (580) 226-1244 | Walnut Ranch Dental, Pllc 1610 Walnut Dr Ardmore OK 73401-2331 Ph: (580) 226-1244 |
NPI Number | 1902409170 |
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Provider Enumeration Date | 11/19/2020 |
Last Update Date | 01/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902409170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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