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Organization
SMILE GALAXY PEDIATRIC DENTISTRY
Active
Organization
SMILE GALAXY PEDIATRIC DENTISTRY
Active
Other names
Smile Zone Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRIAN MOLLOY D.D.S. (BUSINESS OWNER)
(405) 692-1222
Entity
Organization
Contact information
Practice address
9801 S. PENNSYLVANIA, OKLAHOMA CITY, OK 73159-6925
(405) 692-1222
(405) 703-0930
Mailing address
PO BOX 892290, OKLAHOMA CITY, OK 73189-2290
(405) 692-1222
(405) 703-0930
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5436
OK
Other
Enumeration date
07/15/2006
Last updated
11/07/2012
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