Organization
ALL SMILES DENTAL & DENTURE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MATTHEW GARRISON DDS (DENTIST)
(918) 443-9900
Entity
Organization
Contact information
Practice address
225 N HIGHWAY 169, OOLOGAH, OK 74053-6364
(918) 443-9900
(918) 443-9911
Mailing address
PO BOX 639, OOLOGAH, OK 74053-0639
(918) 443-9900
(918) 443-9911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5278
OK
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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