Organization
EDMOND PEDIATRIC AND TEEN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH AUSTIN WHITFIELD D.D.S. (OWNER, PRESIDENT, OFFICER)
(405) 513-8811
Entity
Organization
Contact information
Practice address
3824 S. BOULEVARD, SUITE 110, EDMOND, OK 73013
(405) 513-8811
Mailing address
3824 S. BOULEVARD, SUITE 110, EDMOND, OK 73013
(405) 513-8811
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6048
OK
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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