Organization
CRESCENT DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (PRESIDENT)
(405) 474-6362
Entity
Organization
Contact information
Practice address
120 N GRAND, CRESCENT, OK 73028
(405) 969-3969
Mailing address
120 N GRAND, CRESCENT, OK 73028
(405) 969-3969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
12/12/2019
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