Van Dale Demille, DDS

NPI #1427898840 in Enid, Oklahoma

Provider Information

NPI Number: 1427898840
Entity Type: Individual
Name: Van Dale Demille, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 31, 2024
Last Updated: May 31, 2024

Practice Location

Address: 5202 W OWEN K GARRIOTT RD STE A
City: Enid
State: Oklahoma
ZIP Code: 73703-4611
Phone: (580) 242-5862

Specialties & Taxonomy Codes

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

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