Organization
OKLAHOMA DENTAL-BROKEN ARROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE F CASTEEL (INSURANCE COORDINATOR)
(405) 840-5600
Entity
Organization
Contact information
Practice address
2234 W HOUSTON ST STE A, BROKEN ARROW, OK 74012-3519
(918) 251-0220
(405) 842-9954
Mailing address
4801 RICHMOND SQ, OKLAHOMA CITY, OK 73118-2058
(405) 840-5600
(405) 842-9954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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