Organization
PROGRESSIVE DENTAL
Active
Other names
Jack D McCalmon DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKI L WALL (OFFICE MANAGER)
(405) 632-5561
Entity
Organization
Contact information
Practice address
8283 SOUTH WALKER, SUITE A, OKLAHOMA CITY, OK 73139
(405) 632-5561
(405) 632-6301
Mailing address
8283 S WALKER AVE, SUITE A, OKLAHOMA CITY, OK 73139-9413
(405) 632-5561
(405) 632-6301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2758
OK
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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