Organization
PRECISION FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C FITZGERALD D.D.S. (DENTIST/MEMBER)
(405) 631-4800
Entity
Organization
Contact information
Practice address
16 SW 89TH ST., OKLAHOMA CITY, OK 73139
(405) 631-4800
Mailing address
PO BOX 890145, OKLAHOMA CITY, OK 73189-0145
(405) 631-4800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5894
OK
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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