Organization
SOUTHWEST PEDIATRIC DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA M. WHITE DDS (MANAGER)
(405) 616-7336
Entity
Organization
Contact information
Practice address
809 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-9300
(405) 616-7336
(405) 616-5756
Mailing address
809 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-9300
(405) 616-7336
(405) 616-5756
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4636
OK
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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