Individual
DANIELLE M LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1382 S DOUGLAS BLVD, OKLAHOMA CITY, OK 73130-5215
(405) 716-5183
Mailing address
2372 NW 191ST CT, EDMOND, OK 73012-2640
(908) 892-5098
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7005
OK
Other
Enumeration date
12/09/2017
Last updated
03/17/2018
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