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Individual

DR. BRENT THOMAS AMAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2616 EXCHANGE DR, EDMOND, OK 73034-8652
(405) 697-3828
(405) 697-3829
Mailing address
2616 EXCHANGE DR, EDMOND, OK 73034-8652
(405) 697-3828
(405) 697-3829

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6273
OK

Other

Enumeration date
07/19/2011
Last updated
05/05/2021
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