Organization
OMS OF SOUTHERN OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY S DRESHER (VP BILLING)
(405) 848-7974
Entity
Organization
Contact information
Practice address
1119 WALNUT DR, 2, ARDMORE, OK 73401-2364
(580) 226-1727
(580) 226-9413
Mailing address
PO BOX 108816, OKLAHOMA CITY, OK 73101-8816
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3389
OK
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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