Ryan Joel Flake, DDS Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1972094001
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 7042 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-05-24
- Last updated
- 2018-05-24
Practice location
519 S Santa Fe Ave
Edmond, OK 73003-6281
(405) 844-6100