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Organization
DENTAL ARTS OF LOCUST GROVE, LLC
Active
Organization
DENTAL ARTS OF LOCUST GROVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOREN MICHAELSEN DDS (OWNER)
(405) 593-9596
Entity
Organization
Contact information
Practice address
409 E MAIN ST, LOCUST GROVE, OK 74352-5116
(918) 888-5055
Mailing address
PO BOX 549, LOCUST GROVE, OK 74352-0549
(918) 888-5055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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