Organization
MEDICAL CONSULTANT SERVICES
Active
Parent organization
00000000
Organization subpart
Yes
Provider details
NPI number
Legal business name
00000000
Authorized official
DR. MANSOOR BHATTI DDS, PHD, PA-C (DIRECTOR OF CLINICAL MEDICINE)
(419) 819-9498
Entity
Organization
Contact information
Practice address
3309 W PRINCETON ST, BROKEN ARROW, OK 74012-9587
(419) 819-9498
Mailing address
3309 W PRINCETON ST, BROKEN ARROW, OK 74012-9587
(419) 819-9498
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/23/2016
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