Organization
DENTAL DEPOT ORTHODONTICS NORMAN PLLC
Active
Parent organization
DENTAL DEPOT OF NORMAN PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL DEPOT OF NORMAN PLLC
Authorized official
BRYSON POGSON (DIRECTOR)
(405) 945-8941
Entity
Organization
Contact information
Practice address
701 W MAIN ST, NORMAN, OK 73069-6918
(405) 310-6123
Mailing address
1920 N DREXEL BLVD, OKLAHOMA CITY, OK 73107-3925
(405) 945-8941
(405) 945-8959
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
73
OK
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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