Organization
CRANIOFACIAL PAIN TMJ & SLEEP OF OK
Active
Parent organization
CRANIOFACIAL PAIN, TMJ & SLEEP OF OK
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRANIOFACIAL PAIN, TMJ & SLEEP OF OK
Authorized official
ROBERT LOUIS TALLEY D.D.S. (CEO/PRESIDENT)
(405) 321-8030
Entity
Organization
Contact information
Practice address
448 36TH AVE NW, SUITE 103, NORMAN, OK 73072-4746
(405) 321-8030
(405) 321-2108
Mailing address
448 36TH AVE NW, SUITE 103, NORMAN, OK 73072-4746
(405) 321-8030
(405) 321-2108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3515
OK
Other
Enumeration date
12/03/2008
Last updated
01/21/2015
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