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Organization
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA CITY, PLLC
Active
Organization
ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER/DENTIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
340 W VANDAMENT AVE, YUKON, OK 73099-4640
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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