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Organization
EAGLE CREEK FAMILY DENTISTRY PLLC
Active
Organization
EAGLE CREEK FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI WHITE (INSURANCE COORDINATOR)
(405) 844-6333
Entity
Organization
Contact information
Practice address
4320 MCAULEY BLVD, OKLAHOMA CITY, OK 73120-8386
(405) 622-5612
Mailing address
775 W COVELL RD STE 160, EDMOND, OK 73003-2302
(405) 844-6333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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