| Walnut Ranch Dental Spa Gps, Pllc | |
|
1610 Walnut Dr Ardmore OK 73401-2331 | |
| (580) 226-1244 | |
| Not Available |
| Full Name | Walnut Ranch Dental Spa Gps, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1610 Walnut Dr, Ardmore, Oklahoma |
| Authorized Official Name and Position | William Reynolds Little (CO-OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Ranch Dental Spa Gps, Pllc 100 E Huntington Ave Ste E Jonesboro AR 72401-2900 Ph: () - | Walnut Ranch Dental Spa Gps, Pllc 1610 Walnut Dr Ardmore OK 73401-2331 Ph: (580) 226-1244 |
| NPI Number | 1225615321 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225615321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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