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Organization

BRUSH DENTISTRY LLC

Active
Other names
Innovations Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUNTER JAKE HANUS D.D.S. (OWNER/PRESIDENT)
(918) 366-9500
Entity
Organization

Contact information

Practice address
14617 S MEMORIAL DR, BIXBY, OK 74008-3767
(918) 366-9500
Mailing address
14617 S MEMORIAL DR, BIXBY, OK 74008-3767
(918) 366-9500

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6589
OK

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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