Organization
SHOOP FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BRIAN SHOOP DDS (DENTIST/ OWNER)
(918) 872-9030
Entity
Organization
Contact information
Practice address
2443 W KENOSHA ST, BROKEN ARROW, OK 74012-8964
(918) 872-9030
(918) 872-9040
Mailing address
2443 W KENOSHA ST, BROKEN ARROW, OK 74012-8964
(918) 872-9030
(918) 872-9040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5753
OK
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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