Organization
BOOMER FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI KLEIN (OFFICE MANAGER)
(405) 360-9117
Entity
Organization
Contact information
Practice address
801 24TH AVE NW, NORMAN, OK 73069-6313
(405) 360-9117
Mailing address
801 24TH AVE NW, NORMAN, OK 73069-6313
(405) 360-9117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5906
OK
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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