Organization
ORAL SURGEONS OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
1382 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5215
(405) 741-1962
Mailing address
1382 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5215
(405) 741-1962
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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