Organization
PARKWAY DENTAL GROUP PLLC
Active
Other names
Parkway Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
3727 NW 63RD ST STE 107, OKLAHOMA CITY, OK 73116-1923
(405) 810-8995
Mailing address
3727 NW 63RD ST STE 107, OKLAHOMA CITY, OK 73116-1923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
05/09/2023
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