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Organization
DENTAL DEPOT OF DEL CITY, PLLC
Active
Organization
DENTAL DEPOT OF DEL CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLON ZISSA (DIRECTOR OF PROVIDER RELATIONS)
(405) 945-8941
Entity
Organization
Contact information
Practice address
5004 SE 29TH ST, DEL CITY, OK 73115-4710
(405) 477-8123
(405) 669-2850
Mailing address
5004 SE 29TH ST, DEL CITY, OK 73115-4710
(405) 477-8123
(405) 669-2850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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