Organization
SOUTHERN SMILES DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYCEE STARR VAN HORN 6412 (OWNER/DENTIST)
(580) 284-8142
Entity
Organization
Contact information
Practice address
8816 S PENNSYLVANIA AVE, SUITE 300, OKLAHOMA CITY, OK 73159-5232
(405) 682-4665
(405) 682-0667
Mailing address
8816 S PENNSYLVANIA AVE, SUITE 300, OKLAHOMA CITY, OK 73159-5232
(405) 682-4665
(405) 682-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6412
OK
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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