DR. Douglas Scott Kooken II, DDS

NPI #1275190639 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1275190639
Entity Type: Individual
Name: DR. Douglas Scott Kooken II, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 21, 2019
Last Updated: May 21, 2019

Practice Location

Address: 1950 W KENOSHA ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-8944
Phone: (918) 638-6767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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