Organization
MICHAEL SANCHEZ DDS
Active
Other names
Renaissance Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHILLIP SANCHEZ DDS (DENTIST OWNER)
(918) 272-0707
Entity
Organization
Contact information
Practice address
12150 E 96TH ST N, SUITE 106, OWASSO, OK 74055-5338
(918) 272-0707
(918) 272-0709
Mailing address
12150 E 96TH ST N, SUITE 106, OWASSO, OK 74055-5338
(918) 272-0707
(918) 272-0709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952396137
TYPE 1 NPI
OK
Enumeration date
05/07/2008
Last updated
05/07/2008
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