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Organization
ADA SMILE PLACE, PLLC
Active
Organization
ADA SMILE PLACE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN FRANKLIN EDWARDS III D.D.S. (PARTNER/DENTIST)
(580) 332-1660
Entity
Organization
Contact information
Practice address
1801 ARLINGTON ST, ADA, OK 74820-2814
(580) 332-1660
(580) 421-9009
Mailing address
1801 ARLINGTON ST, ADA, OK 74820-2814
(580) 332-1660
(580) 421-9009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4105
OK
261QD0000X
Dental Clinic/Center
6279
OK
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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