Organization
MUSKOGEE DENTAL AND IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD NELSON (OWNER)
(405) 260-6080
Entity
Organization
Contact information
Practice address
3503 CHANDLER RD, MUSKOGEE, OK 74403-4911
(918) 687-3224
Mailing address
3503 CHANDLER RD, MUSKOGEE, OK 74403-4911
(918) 687-3224
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
02/05/2024
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