Edmond Dental Associates Pllc Valid NPI
Organization · General Practice Dentistry · Edmond, OK
- NPI
- 1407838113
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4715 AND 5969 (OK)
- Enumerated
- 2005-11-17
- Last updated
- 2009-12-30
Practice location
950 Medical Park Blvd
Edmond, OK 73013-3024
(405) 341-8804