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Organization
HERO DENTAL OF SOUTH OKLAHOMA CITY
Active
Organization
HERO DENTAL OF SOUTH OKLAHOMA CITY
Active
Other names
Adventure Dental Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 576-1850
Entity
Organization
Contact information
Practice address
825 N BROADWAY AVE STE 300, OKLAHOMA CITY, OK 73102-6012
(719) 576-1850
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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