Individual
MUNISHA NANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 W INTERSTATE PKWY, SHAWNEE, OK 74804-1331
(405) 275-3800
Mailing address
19 W INTERSTATE PKWY, SHAWNEE, OK 74804-1331
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
201
OK
Other
Enumeration date
06/29/2009
Last updated
10/20/2014
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