Pawnee Dental Clinic

NPI #1548565070 in Pawnee, Oklahoma

Provider Information

NPI Number
1548565070
Entity Type
Organization
Organization Name
Pawnee Dental Clinic
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 13, 2011
Last Updated
Jan 13, 2011

Practice Location

Address
622 7TH ST
City
Pawnee
ZIP Code
74058-2541
Phone
(918) 762-3501

Authorized Official

Name
DR. GARY STARK HENDERSON, D.D.S.
Title
DENTIST
Phone
(918) 762-3501

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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