Organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Pebble Creek Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
BRETT DETERS (CREDENTIALING COORDINATOR)
(217) 540-8921
Entity
Organization
Contact information
Practice address
1041 E. HWY 152, MUSTANG, OK 73064
(405) 256-0037
Mailing address
1041 E. HWY 152, MUSTANG, OK 73064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
10/06/2016
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