Organization
DENTRUST OKLAHOMA, PC
Active
Parent organization
DENTRUST OKLAHOMA, PC
Other names
DOCS Dental Tinker AFB, Dentrust Dental PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTRUST OKLAHOMA, PC
Authorized official
AMANDA CLARK (DIRECTOR OF CREDENTIALING)
(267) 362-5938
Entity
Organization
Contact information
Practice address
3360 N AVE BLDG 685, TINKER AFB, OK 73145-9028
(267) 927-5000
(267) 927-5001
Mailing address
3360 N AVE BLDG 685, TINKER AFB, OK 73145-9028
(267) 927-5000
(267) 927-5001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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