Organization
MARY K. CASEY, DDS, PC
Active
Other names
CJ Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K. CASEY DDS (OWNER)
(405) 231-8796
Entity
Organization
Contact information
Practice address
1111 N LEE AVE, SUITE 331, OKLAHOMA CITY, OK 73103-2600
(405) 236-2094
Mailing address
1111 N LEE AVE, SUITE 331, OKLAHOMA CITY, OK 73103-2600
(405) 236-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4749
OK
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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