Individual
AZIZ PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-7744
Mailing address
777 N AIR DEPOT BLVD, MIDWEST CITY, OK 73110-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7637
OK
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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