# ALAMEDA FAMILY DENTISTRY INC

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

## Provider details

- **NPI number:** 1558739672
- **Authorized official:** MITZI ROBERTS DDS (PRESIDENT)
- **Authorized official phone:** (405) 329-5200

## Contact information

- **Practice address:** 1240 ALAMEDA ST, NORMAN, OK 73071-3007
- **Practice address phone:** (405) 329-5200
- **Mailing address:** 1240 ALAMEDA ST, NORMAN, OK 73071-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4795 | OK | Yes |

## Other

- **Enumeration date:** 09/05/2015
- **Last updated:** 09/05/2015