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Organization
ADVANTAGE DENTAL GROUP, PLLC
Active
Organization
ADVANTAGE DENTAL GROUP, PLLC
Active
Other names
Advantage Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MATT HALE (AUTHORIZED REPRESENTATIVE)
(214) 702-0729
Entity
Organization
Contact information
Practice address
11907 S MEMORIAL DR STE B, BIXBY, OK 74008-2045
(918) 394-0303
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
(214) 702-0720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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