Proud Dental, PC

NPI #1144576539 in Guthrie, Oklahoma

Provider Information

NPI Number
1144576539
Entity Type
Organization
Organization Name
Proud Dental, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 3, 2012
Last Updated
Aug 3, 2012

Practice Location

Address
324 N 19TH ST
Address 2
SUITE 2
ZIP Code
73044-2117
Phone
(405) 282-2530

Authorized Official

Name
NATHAN NICHOLAS PROUD, D.D.S.
Title
DR/OWNER
Phone
(405) 282-2530

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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