Organization
FACIAL SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY S DRESHER (VP BILLING)
(405) 848-7974
Entity
Organization
Contact information
Practice address
620 S MADISON ST, 302, ENID, OK 73701-7273
(580) 242-2800
(580) 242-2801
Mailing address
PO BOX 108818, OKLAHOMA CITY, OK 73101-8818
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5570
OK
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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