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Organization

SOUTHRIDGE DENTAL ARTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA BRASHER DDS (OWNER)
(405) 474-6362
Entity
Organization

Contact information

Practice address
8383 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-5249
(405) 474-6362
Mailing address
3901 E COVELL RD, EDMOND, OK 73034-6909
(405) 474-6362

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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