Organization
DENTAL DEPOT OF DEL CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLON ZISSA (DIRECTOR OF PROVIDER RELATIONS)
(405) 945-8941
Entity
Organization
Contact information
Practice address
5004 SE 29TH ST, DEL CITY, OK 73115-4710
(405) 477-8123
(405) 669-2850
Mailing address
5004 SE 29TH ST, DEL CITY, OK 73115-4710
(405) 477-8123
(405) 669-2850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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