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Organization
SMILE STUDIO OF CLAREMORE LLC
Active
Organization
SMILE STUDIO OF CLAREMORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HARROZ III DDS (MANAGER)
(405) 737-5905
Entity
Organization
Contact information
Practice address
5103 N SHARTEL AVE, OKLAHOMA CITY, OK 73118-6049
(405) 737-5905
(405) 739-0328
Mailing address
PO BOX 30466, MIDWEST CITY, OK 73140-3466
(405) 737-5905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5981
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208520A
—
OK
Enumeration date
08/12/2015
Last updated
08/12/2015
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