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Michael C Haymore, DDS Valid NPI

Individual provider · General Practice Dentistry · Edmond, OK

NPI
1861623811
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
7808 (AZ)
Sex
Male
Sole proprietor
No
Enumerated
2009-08-06
Last updated
2023-09-06
Practice location
1612 Nw 179th Ter
Edmond, OK 73012-4182
(520) 822-4904

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