# BISON DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083415475
- **Authorized official:** CARYL L HOLLINGER (CFO)
- **Authorized official phone:** (949) 403-7044

## Contact information

- **Practice address:** 2700 CACTUS DR, GUYMON, OK 73942-6003
- **Practice address phone:** (580) 262-8900
- **Practice address fax:** (949) 607-4267
- **Mailing address:** 85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
- **Mailing address phone:** (949) 403-7044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2025
- **Last updated:** 03/21/2025