Organization
NORMAN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ERNEST VENK D,D,S, (PRESIDENT)
(405) 321-6506
Entity
Organization
Contact information
Practice address
709 W MAIN ST, NORMAN, OK 73069-6918
(405) 321-6506
(405) 360-4570
Mailing address
709 W MAIN ST, NORMAN, OK 73069-6918
(405) 321-6506
(405) 360-4570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4145
OK
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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