Organization
CITY RESCUE MISSION DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MCCULLOCK ARNP (CLINIC DIRECTOR)
(405) 232-2709
Entity
Organization
Contact information
Practice address
800 W CALIFORNIA AVE, OKLAHOMA CITY, OK 73106-7807
(405) 232-2709
(405) 236-0341
Mailing address
800 W CALIFORNIA AVE, OKLAHOMA CITY, OK 73106-7807
(405) 232-2709
(405) 236-0341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
04/15/2009
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