Organization
REFRESH DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY ARIANA (REGIONAL DIRECTOR OF OPERATIONS)
(918) 625-4395
Entity
Organization
Contact information
Practice address
732 W NEW ORLEANS ST, SUITE 132, BROKEN ARROW, OK 74011-1803
(918) 451-9066
(918) 451-9069
Mailing address
732 W. NEW ORLEANS ST, SUITE 132, BROKEN ARROW, OK 74011-1803
(918) 451-9066
(918) 451-9069
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6209
OK
Other
Enumeration date
12/04/2014
Last updated
02/22/2017
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