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Organization · General Practice Dentistry · Edmond, OK

NPI
1851679427
Type
Organization (Type 2)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
4521 (OK)
Enumerated
2011-07-29
Last updated
2011-07-29
Practice location
520 W 15th St
Edmond, OK 73013-3615
(405) 341-1835

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