Organization
RASILA BHAKTA D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASILA BHAKTA D.D.S. (DENTIST/OWNER)
(405) 224-0170
Entity
Organization
Contact information
Practice address
1000 W. CHOCTAW AVENUE, SUITE 10, CHICKASHA, OK 73018-2256
(405) 224-0170
Mailing address
1000 W CHOCTAW AVE, SUITE 10, CHICKASHA, OK 73018-2260
(405) 224-0170
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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