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Organization

OKC SMILES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STERLING STALDER DDS (OWNER)
(405) 728-1278
Entity
Organization

Contact information

Practice address
930 SW 107TH ST, OKLAHOMA CITY, OK 73170
(405) 634-7303
Mailing address
930 SW 107TH ST, OKLAHOMA CITY, OK 73170
(405) 634-7303

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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