# MCLOUD DENTAL CENTER P.L.L.C.

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

## Provider details

- **NPI number:** 1710390323
- **Authorized official:** MRS. ELEEN MICHELE AMAYA (OFFICE MANAGER)
- **Authorized official phone:** (405) 315-9066

## Contact information

- **Practice address:** 806 SOUTH 8TH STREET, MCLOUD, OK 74851
- **Practice address phone:** (405) 315-9066
- **Mailing address:** 1991 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6225
- **Mailing address phone:** (405) 737-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6273 | OK | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 11/16/2015