Hometown Dental of Yukon Pllc

NPI #1548887946 in Yukon, Oklahoma

Provider Information

NPI Number: 1548887946
Entity Type: Organization
Organization Name: Hometown Dental of Yukon Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 1, 2020
Last Updated: Jul 1, 2020

Practice Location

Address: 1315 HOLLY AVE
City: Yukon
State: Oklahoma
ZIP Code: 73099-5407
Phone: (405) 494-8006

Authorized Official

Name: BOBBY H LONG
Title: MANAGER
Phone: (405) 831-3202

Specialties & Taxonomy Codes

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

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