Organization
BETHANY DENTAL GROUP PLLC
Active
Other names
Bethany Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (OWNER/MANAGER)
(405) 474-6362
Entity
Organization
Contact information
Practice address
6301 NW 23RD ST, BETHANY, OK 73008-5931
(405) 474-6362
Mailing address
6301 NW 23RD ST, BETHANY, OK 73008-5931
(405) 474-6362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6256
OK
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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