Organization
EDMOND DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V. RALPH WILLCOX DDS (OWNER, DENTIST)
(405) 341-8804
Entity
Organization
Contact information
Practice address
950 MEDICAL PARK BLVD, EDMOND, OK 73013-3024
(405) 341-8804
(405) 341-4967
Mailing address
PO BOX 7326, EDMOND, OK 73083-7326
(405) 341-8804
(405) 341-4967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4715 AND 5969
OK
Other
Enumeration date
11/17/2005
Last updated
12/30/2009
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