Mark Ellis Mettry, DDS

NPI #1689982332 in Chickasha, Oklahoma

Provider Information

NPI Number: 1689982332
Entity Type: Individual
Name: Mark Ellis Mettry, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 839 W COUNTRY CLUB RD
City: Chickasha
State: Oklahoma
ZIP Code: 73018-7281
Phone: (405) 224-7036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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