Organization
SPRING DENTAL CLEVELAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MCBAY (CREDENTIALING MANAGER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
103 S BROADWAY ST, CLEVELAND, OK 74020-4614
(918) 358-0002
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
02/18/2020
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