Organization
ADVANTAGE DENTAL GROUP, PLLC
Active
Other names
Advantage Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MATT HALE (AUTHORIZED REPRESENTATIVE)
(214) 702-0729
Entity
Organization
Contact information
Practice address
11907 S MEMORIAL DR STE B, BIXBY, OK 74008-2045
(918) 394-0303
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
(214) 702-0720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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