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Organization
OKLAHOMA CITY DENTAL SW, PLLC
Active
Organization
OKLAHOMA CITY DENTAL SW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED L CARDON (DDS)
(918) 998-0996
Entity
Organization
Contact information
Practice address
6616 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1708
(405) 601-7852
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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