# YUKON DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endodontics and Dental Implants of Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679075147
- **Authorized official:** DR. ANDREW XU DDS (MANAGER)
- **Authorized official phone:** (405) 982-2121

## Contact information

- **Practice address:** 1010 GARTH BROOKS BLVD STE. 120, YUKON, OK 73099
- **Practice address phone:** (405) 982-2121
- **Practice address fax:** (405) 561-0120
- **Mailing address:** 1621 MIDTOWN PLACE STE. B, MIDWEST CITY, OK 73130
- **Mailing address phone:** (405) 982-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5884 | OK | Yes |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 03/01/2018