Premier Dental of Western Oklahoma, Pllc

NPI #1790959757 in Elk City, Oklahoma

Provider Information

NPI Number: 1790959757
Entity Type: Organization
Organization Name: Premier Dental of Western Oklahoma, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 21, 2008
Last Updated: Apr 21, 2008

Practice Location

Address: 3102 S HIGHWAY 6
City: Elk City
State: Oklahoma
ZIP Code: 73644-9779
Phone: (580) 225-4448

Authorized Official

Name: DR. PATRICK PETE STOVER, DDS
Title: DENTIST
Phone: (580) 225-4448

Specialties & Taxonomy Codes

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

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