Organization
SMILE STUDIO OF CLAREMORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HARROZ III DDS (MANAGER)
(405) 737-5905
Entity
Organization
Contact information
Practice address
5103 N SHARTEL AVE, OKLAHOMA CITY, OK 73118-6049
(405) 737-5905
(405) 739-0328
Mailing address
PO BOX 30466, MIDWEST CITY, OK 73140-3466
(405) 737-5905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5981
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208520A
—
OK
Enumeration date
08/12/2015
Last updated
08/12/2015
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