Organization
J RUSSELL DANNER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUSSELL DANNER DDS (DENTIST)
(405) 749-1676
Entity
Organization
Contact information
Practice address
4514 MEMORIAL CIR STE A, OKLAHOMA CITY, OK 73142-5005
(405) 749-1676
(405) 749-1898
Mailing address
4514 MEMORIAL CIR STE A, OKLAHOMA CITY, OK 73142-5005
(405) 749-1676
(405) 749-1898
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5165
OK
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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