Organization
SCISSORTAIL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FARLEY (MANAGING PARTNER)
(405) 348-5100
Entity
Organization
Contact information
Practice address
216 E 10TH STREET PLZ, EDMOND, OK 73034-4737
(405) 348-5100
Mailing address
216 E 10TH STREET PLZ, EDMOND, OK 73034-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3794
OK
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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