Organization
BROKEN ARROW 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
2109 W WASHINGTON ST, BROKEN ARROW, OK 74012-6801
(918) 455-0123
Mailing address
2109 W WASHINGTON ST, BROKEN ARROW, OK 74012-6801
(918) 455-0123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
02/05/2024
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