Organization
FREMONT HILLS DENTAL PLLC
Active
Other names
Fremont Hills Dental Centre
Organization subpart
No
Provider details
NPI number
Authorized official
LILY DAVIS (CREDENTIALING SPECIAILST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
5240 N TOWNE CENTRE DR, OZARK, MO 65721-9074
(417) 581-0000
(417) 582-1564
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/13/2023
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