Custom Dental of Atoka Pllc

NPI #1730319211 in Atoka, Oklahoma

Provider Information

NPI Number: 1730319211
Entity Type: Organization
Organization Name: Custom Dental of Atoka Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 20, 2009
Last Updated: Jul 20, 2009

Practice Location

Address: 1306 W. LIBERTY ROAD
City: Atoka
State: Oklahoma
ZIP Code: 74525-6063
Phone: (405) 282-6440

Authorized Official

Name: MATHEW D HOOKOM, D.D.S.
Title: DENTIST
Phone: (405) 282-6440

Specialties & Taxonomy Codes

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

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