Organization
ADVANCED CRANIOFACIAL PAIN CARE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA K DAVIS DDS (PRESIDENT)
(405) 751-5515
Entity
Organization
Contact information
Practice address
4401 W MEMORIAL RD, SUITE 135, OKLAHOMA CITY, OK 73134-1785
(405) 751-5515
(405) 751-6606
Mailing address
4401 W MEMORIAL RD, SUITE 135, OKLAHOMA CITY, OK 73134-1785
(405) 751-5515
(405) 751-6606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5510
OK
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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