Summer Dental Shawnee Pllc

NPI #1548834872 in Shawnee, Oklahoma

Provider Information

NPI Number
1548834872
Entity Type
Organization
Organization Name
Summer Dental Shawnee Pllc
Primary Specialty
Dentist
Enumeration Date
May 20, 2021
Last Updated
May 20, 2021

Practice Location

Address
3703 N KICKAPOO AVE
ZIP Code
74804-1703
Phone
(405) 275-0640

Authorized Official

Name
MIKE YATES
Title
COO
Phone
(918) 998-0996

Specialties & Taxonomy Codes

Specialty
Dentist

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