# CDA2026

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356257513
- **Authorized official:** BRANDI A WILLIAMS (CHIEF GROWTH OFFICER)
- **Authorized official phone:** (405) 250-2255

## Contact information

- **Practice address:** 20926 SE 29TH ST STE A, HARRAH, OK 73045-6610
- **Practice address phone:** (405) 445-6999
- **Mailing address:** 1900 NW EXPWY ST STE 1600, OKLAHOMA CITY, OK 73118-1839
- **Mailing address phone:** (918) 786-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2026
- **Last updated:** 08/19/2026
