Organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Active
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Other names
Casady Square Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Authorized official
HANNAH FISH (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization
Contact information
Practice address
9405 N PENNSYLVANIA PL, CASADY SQUARE, OKLAHOMA CITY, OK 73120-3801
(405) 254-5094
Mailing address
9405 N PENNSYLVANIA PL, CASADY SQUARE, OKLAHOMA CITY, OK 73120-3801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
07/18/2016
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