Organization
TAHOE ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DRESHER (VP OF BILLING)
(405) 848-7974
Entity
Organization
Contact information
Practice address
5600 N MAY AVE, SUITE 250, OKLAHOMA CITY, OK 73112-3973
(405) 848-7974
(405) 848-0033
Mailing address
12277 SOARING WAY, SUITE 103, TRUCKEE, CA 96161-3320
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
54665
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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