Richard Fentem JR., DDS
NPI #1144256215 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1144256215
- Entity Type
- Individual
- Name
- Richard Fentem JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Jan 14, 2014
Practice Location
- Address
- 304 S AIR DEPOT BLVD
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4433
- Phone
- (405) 733-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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