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Organization

NEIGHBORHOOD SERVICES ORGANIZATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY ANNE NINNESS (EXECUTIVE DIRECTOR)
(405) 236-0413
Entity
Organization

Contact information

Practice address
431 SW 11TH STREET, OKLAHOMA CITY, OK 73109-5613
(405) 236-0413
(405) 236-1871
Mailing address
431 SW 11TH STREET, OKLAHOMA CITY, OK 73109-5613
(405) 236-0413
(405) 236-1871

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2302
OK
1223G0001X
General Practice Dentistry
3065
OK
1223G0001X
General Practice Dentistry
4480
OK

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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