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Organization

VALLEY DENTAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA BRASHER DDS (CEO)
(405) 474-6362
Entity
Organization

Contact information

Practice address
101 MILLER DR, PAULS VALLEY, OK 73075-6412
(405) 238-2574
Mailing address
101 MILLER DR, PAULS VALLEY, OK 73075-6412
(405) 238-2574

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/18/2019
Last updated
12/11/2019
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