# AFFORDABLE DENTURES-MIDWEST CITY, P.C.

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

## Provider details

- **NPI number:** 1164834701
- **Authorized official:** DR. RICHARD L. FENTEM JR. DDS (OWNER)
- **Authorized official phone:** (405) 672-0214

## Contact information

- **Practice address:** 5301 MAIN STREET, SUITE 111, DEL CITY, OK 73115
- **Practice address phone:** (405) 672-0214
- **Practice address fax:** (405) 672-0226
- **Mailing address:** 5301 MAIN STREET, SUITE 111, DEL CITY, OK 73115
- **Mailing address phone:** (405) 672-0214
- **Mailing address fax:** (405) 672-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4410 | OK | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014