Organization
JEFFERSON ORTHODONTICS OK PLLC
Active
Organization
JEFFERSON ORTHODONTICS OK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKOO RAINA (PRESIDENT)
(972) 444-8888
Entity
Organization
Contact information
Practice address
3625 NW 39TH ST, OKLAHOMA CITY, OK 73112-6309
(405) 669-2580
Mailing address
3030 LBJ FWY STE 1400, DALLAS, TX 75234-2766
(972) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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