Organization
CHARLES ROSKAMP D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEE ROSKAMP DDS (PRES/OWNER)
(918) 451-0211
Entity
Organization
Contact information
Practice address
3300 S ASPEN AVE, SUTIE A, BROKEN ARROW, OK 74012-7501
(918) 451-0211
(918) 451-0599
Mailing address
3300 S ASPEN AVE, SUTIE A, BROKEN ARROW, OK 74012-7501
(918) 451-0211
(918) 451-0599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3861
OK
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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