Organization
PIPER DENTAL HOLDINGS LLC
Active
Other names
Mannford Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MOORE (OWNER)
(918) 865-2247
Entity
Organization
Contact information
Practice address
152 COONROD DRIVE, MANNFORD, OK 74044
(918) 865-2247
Mailing address
PO BOX 1328, MANNFORD, OK 74044-1328
(918) 865-2247
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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