Organization
SCOTT BRELAND DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT BRELAND DDS (OWNER/DENTIST)
(918) 224-0551
Entity
Organization
Contact information
Practice address
20 W LEE AVE, SAPULPA, OK 74066-4116
(918) 224-0551
(918) 224-5251
Mailing address
20 W LEE AVE, SAPULPA, OK 74066-4116
(918) 224-0551
(918) 224-5251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5213
OK
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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