Organization
VARSITY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER (PRESIDENT)
(405) 359-0808
Entity
Organization
Contact information
Practice address
509 S PORTER AVE, NORMAN, OK 73071-5437
(405) 321-4060
Mailing address
509 S PORTER AVE, NORMAN, OK 73071-5437
(405) 321-4060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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