Organization
PREMIER DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE KIM DDS (PRESIDENT)
(405) 942-2876
Entity
Organization
Contact information
Practice address
2528 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-1035
(405) 942-2876
Mailing address
2528 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107-1035
(405) 942-2876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5300
OK
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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