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Individual

DR. SOICHCHHA BANIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
304 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4433
(405) 689-5069
Mailing address
6124 N MERIDIAN AVE APT 412, OKLAHOMA CITY, OK 73112-1216
(571) 524-2727

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8017
OK

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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