Organization
ELK CITY DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (PRESIDENT)
(405) 474-6362
Entity
Organization
Contact information
Practice address
1011 N MAIN ST, ELK CITY, OK 73644-2830
(580) 225-1232
Mailing address
3901 E COVELL RD, EDMOND, OK 73034-6909
(405) 474-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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