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Organization
STILLWATER DENTAL AND IMPLANTS, LLC
Active
Organization
STILLWATER DENTAL AND IMPLANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD NELSON (OWNER)
(405) 260-6080
Entity
Organization
Contact information
Practice address
900 S WALNUT ST, STILLWATER, OK 74074-5230
(405) 372-5040
Mailing address
5700 SE 89TH ST, OKLAHOMA CITY, OK 73135-6017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2023
Last updated
02/05/2024
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