Organization
DENTAL PROFESSIONALS OF OKLAHOMA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF OKLAHOMA, P.C.
Other names
Family Dentistry of Yukon
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OKLAHOMA, P.C.
Authorized official
HEATHER N. PRUEMER (CREDENTIALING COORDINATOR)
(217) 540-8434
Entity
Organization
Contact information
Practice address
1670 GARTH BROOKS BLVD, SUITE 115, YUKON, OK 73099-6878
(405) 494-3080
(405) 265-3555
Mailing address
1670 GARTH BROOKS BLVD, SUITE 115, YUKON, OK 73099-6878
(405) 494-3080
(405) 265-3555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
09/15/2015
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