Organization
RESTORATION DENTAL
Active
Other names
Restoration Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON COHENOUR (OWNER/DENTIST)
(405) 517-2175
Entity
Organization
Contact information
Practice address
101 E MEMORIAL RD SUITE 100, EDMOND, OK 73114
(405) 517-2175
Mailing address
101 E MEMORIAL RD SUITE 100, EDMOND, OK 73114
(405) 517-2175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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