Organization
BRK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN JOHNSON (INSURANCE ADVISOR)
(405) 633-0814
Entity
Organization
Contact information
Practice address
7120 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-3315
(405) 681-6601
Mailing address
700 S MUSTANG RD, YUKON, OK 73099-6777
(405) 494-7227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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