Organization
BUCCAL UP DENTAL DEER CREEK PLLC
Active
Other names
Dentistry for You OKC
Organization subpart
No
Provider details
NPI number
Authorized official
RON FERNANDEZ (CEO)
(918) 960-3070
Entity
Organization
Contact information
Practice address
12321 HIDDEN FOREST BLVD., OKLAHOMA CITY, OK 73142
(405) 722-7767
(405) 722-8858
Mailing address
5314 S YALE AVE., SUITE 400, TULSA, OK 74135
(918) 906-3070
(539) 867-1236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
06/20/2024
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