Organization
SMILING MONKEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET DOYLE ISLEY D.D.S. (PRESIDENT)
(918) 224-7000
Entity
Organization
Contact information
Practice address
1044 E LINCOLN AVE, SAPULPA, OK 74066-4505
(918) 224-7000
Mailing address
1044 E LINCOLN AVE, SAPULPA, OK 74066-4505
(918) 224-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5995
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349370A
—
OK
Enumeration date
09/01/2011
Last updated
10/25/2011
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