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Organization
OWASSO PEDIATRIC DENTISTRY, PLLC
Active
Organization
OWASSO PEDIATRIC DENTISTRY, PLLC
Active
Other names
Owasso Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT)
(918) 998-0996
Entity
Organization
Contact information
Practice address
9455 N OWASSO EXPY STE H, OWASSO, OK 74055-5457
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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