Organization
NORMAN PERIODONTICS & DENTAL IMPLANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT G RENFROW D.D.S. (OWNER)
(405) 329-6106
Entity
Organization
Contact information
Practice address
707 24TH AVE SW, SUITE 202, NORMAN, OK 73069-3987
(405) 329-6106
Mailing address
707 24TH AVE SW, SUITE 202, NORMAN, OK 73069-3987
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5814
OK
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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