Organization
OK SPECIALTY DENTAL SERVICES PLLC
Active
Parent organization
OK SPECIALTY DENTAL SERVICES PLLC
Other names
Edmond Pediatric & Teen Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
OK SPECIALTY DENTAL SERVICES PLLC
Authorized official
CHARLOTTE V DASCH (DIRECTOR OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
101 S SAINTS BLVD STE 212, EDMOND, OK 73034-3083
(405) 513-7083
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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