Organization
SMILE STUDIO OF MIDWEST CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HARROZ III DDS (OWNER)
(405) 737-5905
Entity
Organization
Contact information
Practice address
1908 S POST RD, BUILDING 1, MIDWEST CITY, OK 73130-6600
(405) 737-5905
(405) 732-2109
Mailing address
PO BOX 30466, MIDWEST CITY, OK 73140-3466
(405) 737-5905
(405) 739-0328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5981
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
DENTIST-GENERAL PRACTICE
OK
Enumeration date
04/22/2015
Last updated
08/04/2015
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