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Organization
LEAHA D NELS DDS PLLC
Active
Organization
LEAHA D NELS DDS PLLC
Active
Other names
Magnolia Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAHA NELS DDS (OWNER)
(405) 317-6471
Entity
Organization
Contact information
Practice address
101 N DOUGLAS BLVD STE T, MIDWEST CITY, OK 73130-3328
(405) 455-9057
Mailing address
101 N DOUGLAS BLVD STE T, MIDWEST CITY, OK 73130-3328
(405) 455-9057
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6794
OK
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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