Organization
STONEWOOD HILLS ORAL MAXILLOFACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE W PINSON (PRACTICE MANAGER)
(918) 229-0292
Entity
Organization
Contact information
Practice address
425 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
(918) 229-0292
Mailing address
425 STONE WOOD DR, BROKEN ARROW, OK 74012-1026
(918) 229-0292
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5601
OK
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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