Organization
WADG PLLC
Active
Other names
Watonga Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (PRESIDENT)
(405) 474-6362
Entity
Organization
Contact information
Practice address
321 N CLARENCE NASH BLVD, WATONGA, OK 73772-3605
(580) 279-0961
Mailing address
321 N CLARENCE NASH BLVD, WATONGA, OK 73772-3605
(580) 279-0961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/25/2021
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