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Altus Mangum Dental Pllc
Dental Clinic/Center in Mangum, Oklahoma
NPI 1720685324

Altus Mangum Dental Pllc is a Dental Clinic/Center based in Mangum, OK and is specialized in Dental. Altus Mangum Dental Pllc practices in Mangum, OK. The NPI Number for Altus Mangum Dental Pllc is 1720685324 and holds a License No. (Oklahoma).

The current practice location address for Altus Mangum Dental Pllc is 1410 N Louis Tittle Ave, Mangum, OK and can be reached out via phone at 580-782-5513 and via fax at 580-782-5156.

Location: 1410 N Louis Tittle Ave, Mangum, OK, 73554-2218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720685324
Provider Name
Altus Mangum Dental Pllc
Credential
Provider Entity Type
Organization
Address
1410 N Louis Tittle Ave, Mangum, OK, 73554-2218
Phone Number
580-782-5513
Fax Number
580-782-5156
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1410 N Louis Tittle Ave
City
Mangum
State
Oklahoma
Zip
73554-2218
Phone Number
580-782-5513
Fax Number
580-782-5156
person
Provider Business Mailing Address Details
Address
1410 N Louis Tittle Ave
City
Mangum
State
Oklahoma
Zip
73554-2218
Phone Number
580-782-5513
Fax Number
580-782-5156
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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