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Individual

DR. DIVESH SARDANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MDS, MBA, MPH, PHD

Contact information

Practice address
1201 N STONEWALL AVE RM 521B, OKLAHOMA CITY, OK 73117-1214
(405) 271-6056
Mailing address
1201 N STONEWALL AVE RM 521B, OKLAHOMA CITY, OK 73117-1214
(405) 271-6056

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
F-022
OK

Other

Enumeration date
07/27/2022
Last updated
07/27/2022
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