Organization
GREEN COUNTRY DENTAL ARTS DOWNTOWN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDON MILES SWISHER D.D.S. (PRESIDENT)
(918) 336-1262
Entity
Organization
Contact information
Practice address
412 E 4TH ST, BARTLESVILLE, OK 74003-3603
(918) 336-1262
Mailing address
412 E 4TH ST, BARTLESVILLE, OK 74003-3603
(918) 336-1262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6042
OK
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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