Leroy Place D.d.s., Inc.

NPI #1942467915 in Dewey, Oklahoma

Provider Information

NPI Number
1942467915
Entity Type
Organization
Organization Name
Leroy Place D.d.s., Inc.
Primary Specialty
Exclusive Provider Organization
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008

Practice Location

Address
417 E DON TYLER AVE
City
Dewey
ZIP Code
74029-2315
Phone
(918) 534-3170

Authorized Official

Name
GWEN PLACE
Title
OFFICE ADMINISTRATOR
Phone
(918) 534-3170

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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