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Organization
CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization
CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNDA KAY PHARES (OFFICE MANAGER)
(405) 624-1300
Entity
Organization
Contact information
Practice address
812 S PINE ST, STILLWATER, OK 74074-4349
(405) 624-1300
(405) 624-3084
Mailing address
812 S PINE ST, STILLWATER, OK 74074-4349
(405) 624-1300
(405) 624-3084
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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