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Individual

DR. MY THANH DAO VANDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
5801 W BRITTON RD, SUITE B, OKLAHOMA CITY, OK 73132-2405
(405) 722-7767
(405) 722-8858
Mailing address
5801 W BRITTON RD, SUITE B, OKLAHOMA CITY, OK 73132-2405
(405) 722-7767
(405) 722-8858

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5137
OK

Other

Enumeration date
04/30/2007
Last updated
07/08/2007
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