# SMILE GALAXY PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Zone Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023034451
- **Authorized official:** MR. ROBERT BRIAN MOLLOY D.D.S. (BUSINESS OWNER)
- **Authorized official phone:** (405) 692-1222

## Contact information

- **Practice address:** 9801 S. PENNSYLVANIA, OKLAHOMA CITY, OK 73159-6925
- **Practice address phone:** (405) 692-1222
- **Practice address fax:** (405) 703-0930
- **Mailing address:** PO BOX 892290, OKLAHOMA CITY, OK 73189-2290
- **Mailing address phone:** (405) 692-1222
- **Mailing address fax:** (405) 703-0930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5436 | OK | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/07/2012
