Mattie Elizabeth Eddleman

NPI #1083346241 in Moore, Oklahoma

Provider Information

NPI Number: 1083346241
Entity Type: Individual
Name: Mattie Elizabeth Eddleman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 780 SW 19TH ST
City: Moore
State: Oklahoma
ZIP Code: 73160-3054
Phone: (402) 669-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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