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Organization
SMART SINUS OK, LLC
Active
Organization
SMART SINUS OK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSE OSHIN (BILLING MANAGER)
(847) 278-1885
Entity
Organization
Contact information
Practice address
13908 QUAILBROOK DR, QUAILBROOK BULDG C, OKLAHOMA CITY, OK 73134-1718
(405) 479-8625
(405) 479-8627
Mailing address
13908 QUAILBROOK DR, QUAILBROOK MEDICAL CENTER BLDG C, OKLAHOMA CITY, OK 73134-1718
(405) 479-8625
(405) 479-8627
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
—
NULL
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
03612239
IL
Other
Enumeration date
10/20/2015
Last updated
02/15/2017
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