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Organization

10WAG PLLC

Active
Other names
Liberty Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA BRASHER DDS (OWNER)
(405) 250-2255
Entity
Organization

Contact information

Practice address
11 WEST MAIN, CARNEGIE, OK 73015
(580) 653-1008
Mailing address
PO BOX 365, CARNEGIE, OK 73015-0365
(580) 653-1008

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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