Individual
ALISA BURROSS RATZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13901 PARKWAY COMMONS DR STE D, OKLAHOMA CITY, OK 73134-6225
(940) 613-6940
Mailing address
11225 BLUE SAGE RD, OKLAHOMA CITY, OK 73120-5348
(940) 613-6940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
222758
TX
1223G0001X
General Practice Dentistry
Primary
7273
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558424788
DENTIST
OK
01
—
1558424788
DENTIST
TX
Enumeration date
12/19/2006
Last updated
05/18/2023
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