Organization
SPARTAN PLLC
Active
Other names
Spartan Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA V BRASHER DDS (OWNER/PRESIDENT)
(405) 250-2255
Entity
Organization
Contact information
Practice address
5 W DAWES AVE, BIXBY, OK 74008-4422
(918) 366-3777
Mailing address
5 W DAWES AVE, BIXBY, OK 74008-4422
(918) 366-3777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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