Organization
CHILDREN'S DENTAL CLINIC OF OKLAHOMA CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENELL STRINGER (MANAGER, LICENSING & CREDENTIALING)
(615) 750-0343
Entity
Organization
Contact information
Practice address
309 SW 59TH ST, SUITE 105, OKLAHOMA CITY, OK 73109-8321
(405) 631-2700
(405) 631-2701
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039080A
—
OK
Enumeration date
05/07/2006
Last updated
06/11/2013
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