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DR. SURAT ATTAPHITAYA DMD

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1164592259

Individual Registrant:
DR. SURAT  ATTAPHITAYA DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
900 E PROSPECT AVE STE 800 PONCA CITY, OK 74601-1600 US
Tel: 580-765-2000  Fax: 580-765-2001

Contact information for business:
900 E PROSPECT AVE STE 800 PONCA CITY, OK 74601-1600 US
Tel: 580-765-2000  Fax: 580-765-2001

Registration Information:
NPI: 1164592259
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CA54986
N1223X0400XDental Providers
Dentist
OK184
Y1223X0400XDental Providers
Dentist
TX22054

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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