Organization
EDMOND FAMILY DENTAL DESIGNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. SCOTT WAUGH D.D.S. (GENERAL DENSTIST)
(405) 341-6134
Entity
Organization
Contact information
Practice address
233 E 10TH STREET PLZ, EDMOND, OK 73034-4737
(405) 341-6134
(405) 341-5164
Mailing address
PO BOX 1459, EDMOND, OK 73083-1459
(405) 341-6134
(405) 341-5164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3653
OK
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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