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Organization

OKDI PLLC

Active
Other names
405 Implants and Dentures
Organization subpart
No

Provider details

NPI number
Authorized official
AUSTIN BRASHER DDS (DENTIST)
(405) 474-6361
Entity
Organization

Contact information

Practice address
10001 S PENNSYLVANIA AVE # M240, OKLAHOMA CITY, OK 73159-6923
(405) 252-1508
Mailing address
1705 GEETA RD, EDMOND, OK 73003-3707
(405) 474-6361

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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