Organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Active
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Other names
Dental Care of Edmond
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Authorized official
HANNAH FISH (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization
Contact information
Practice address
1308 N KELLY AVE, NORTH OAKS SHOPPING CENTER, EDMOND, OK 73003
(405) 216-5229
Mailing address
1308 N KELLY AVE, EDMOND, OK 73003-3906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
08/06/2018
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