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Organization
STOLTENBERG DENTAL PLLC
Active
Organization
STOLTENBERG DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADEN HOFMAN STOLTENBERG DDS (DENTIST/CEO)
(405) 406-1529
Entity
Organization
Contact information
Practice address
707 24TH AVE SW STE 201, NORMAN, OK 73069-3957
(405) 364-6064
Mailing address
4503 GREEN FIELD CIR, NORMAN, OK 73072-3131
(405) 406-1529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6118
OK
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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