Organization
LINDA L MINER DMD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA LOU MINER DMD (DENTIST)
(405) 631-3877
Entity
Organization
Contact information
Practice address
1145 W I 240 SERVICE RD, BLDG D, OKLAHOMA CITY, OK 73139-2134
(405) 631-3877
Mailing address
1145 SW 74, BLDG D, OKLAHOMA CITY, OK 73139
(405) 631-3877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
952
OK
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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