# VALLEY DENTAL GROUP PLLC

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

## Provider details

- **NPI number:** 1437623808
- **Authorized official:** JOSHUA BRASHER DDS (CEO)
- **Authorized official phone:** (405) 474-6362

## Contact information

- **Practice address:** 101 MILLER DR, PAULS VALLEY, OK 73075-6412
- **Practice address phone:** (405) 238-2574
- **Mailing address:** 101 MILLER DR, PAULS VALLEY, OK 73075-6412
- **Mailing address phone:** (405) 238-2574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2019
- **Last updated:** 12/11/2019