Organization
STEPHEN L VIRTUE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN L VIRTUE DDS (PRESIDENT)
(405) 943-8058
Entity
Organization
Contact information
Practice address
5100 N BROOKLINE AVE, #870, OKLAHOMA CITY, OK 73112-3623
(405) 943-8058
Mailing address
5100 N BROOKLINE AVE, #870, OKLAHOMA CITY, OK 73112-3623
(405) 943-8058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4435
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106350A
—
OK
Enumeration date
05/21/2008
Last updated
05/22/2008
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