Organization
HERO DENTAL OF OKC PC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 576-1850
Entity
Organization
Contact information
Practice address
4836 NW 23RD ST, OKLAHOMA CITY, OK 73127-1809
(719) 576-1850
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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