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NPI Code Detail

MEDICARE: GARROLD DALE SIBEL DDS

MEDICARE: GARROLD DALE SIBEL DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3410OK

General Provider Information

NPI Number : 1588773261
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARROLD DALE SIBEL DDS
Provider Business Mailing Address
First Line : 7219 E RENO AVE
Second Line : DALE SIBEL DDS
City : MIDWEST CITY
State : OK
Zip : 73110-4446
Country : US
Telephone Number : 405-737-5614
Fax Number : 405-737-5614
Provider Business Practice Location Address
First Line : 7219 E RENO AVE
Second Line : DALE SIBEL DDS
City : MIDWEST CITY
State : OK
Zip : 73110-4446
Country : US
Telephone Number : 405-737-5614
Fax Number : 405-737-5614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ GARROLD DALE SIBEL DDS” Practice Location

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