Organization
DENTAL DEPOT OF ARLINGTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLON ZISSA (DIRECTOR OF PROVIDER RELATIONS)
(405) 945-8941
Entity
Organization
Contact information
Practice address
5005 LITTLE SCHOOL RD., ARLINGTON, TX 76017
(817) 856-0123
(817) 476-4411
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(817) 856-0123
(817) 476-4411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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