Leisha V. Everett,dds,pc | |
1100 N Mustang Rd Mustang OK 73064-7201 | |
(405) 376-6565 | |
(405) 376-2443 |
Full Name | Leisha V. Everett,dds,pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1100 N Mustang Rd, Mustang, Oklahoma |
Authorized Official Name and Position | Leisha Von Everett (OWNER) |
Authorized Official Contact | 4053766565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Leisha V. Everett,dds,pc 1100 N Mustang Rd Mustang OK 73064-7201 Ph: (405) 376-6565 | Leisha V. Everett,dds,pc 1100 N Mustang Rd Mustang OK 73064-7201 Ph: (405) 376-6565 |
NPI Number | 1255561791 |
---|---|
Provider Enumeration Date | 07/17/2009 |
Last Update Date | 07/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255561791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5108 (Oklahoma) | Primary |
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› Verified 4 days ago
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