Organization
ALLIED DENTAL ASSOCIATES OF CHOCTAW PLLC
Active
Other names
Tracy Gasbarra DDS PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ANN GASBARRA D.D.S (DENTIST/OWNER)
(405) 390-2000
Entity
Organization
Contact information
Practice address
2401 N HENNEY RD, CHOCTAW, OK 73020-8751
(405) 390-2000
(405) 390-2018
Mailing address
2401 N HENNY RD, CHOCTAW, OK 73020-0265
(405) 390-2000
(405) 390-2018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5671
OK
Other
Enumeration date
05/20/2008
Last updated
05/09/2022
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