Individual
BRIAN BEHNUM MINAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N. STONEWALL AVE., OKLAHOMA CITY, OK 73117
(405) 271-5222
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-5222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES-1327
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-2382039
—
OK
Enumeration date
08/31/2016
Last updated
08/31/2016
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