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Organization

MARQUIS CENTER OF OKLAHOMA CITY PLLC

Active
Other names
Marquis Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLARK ALLEN PETERSEN JR. (OPERATIONS DIRECTOR)
(618) 402-6622
Entity
Organization

Contact information

Practice address
MARQUIS CENTER OF OKLAHOMA CITY, PLLC, 13901 PARKWAY COMMONS SUITE D, OKLAHOMA CITY, OK 73134
(405) 500-7004
Mailing address
4447 N CENTRAL EXPY STE 110, DALLAS, TX 75205-4246
(618) 402-6622

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary

Other

Enumeration date
06/18/2021
Last updated
06/18/2021
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