Organization
DENTAL PROFESSIONALS OF OK, PC
Active
Parent organization
DENTAL PROFESSIONALS OF OK, PC
Other names
Cross Timbers Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OK, PC
Authorized official
JENNIFER HOELSCHER (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
3152 S BROADWAY, EDMOND, OK 73013-4056
(405) 696-4168
Mailing address
3152 S BROADWAY, EDMOND, OK 73013-4056
(405) 696-4168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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