Organization
SPRING DENTAL-BROKEN ARROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCBAY (CREDENTIALING SPEICALIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
6416 S ELM PL, BROKEN ARROW, OK 74011-4819
(918) 895-6568
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
06/14/2018
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