Braden Callister, DMD

NPI #1780105148 in Okmulgee, Oklahoma

Provider Information

NPI Number: 1780105148
Entity Type: Individual
Name: Braden Callister, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 6, 2017
Last Updated: Jun 11, 2019

Practice Location

Address: 1829 S WOOD DR
City: Okmulgee
State: Oklahoma
ZIP Code: 74447-6825
Phone: (918) 756-6500

Specialties & Taxonomy Codes

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

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