Organization
SHERMAN J. MENSER D.D.S
Active
Other names
Shadybrook Cosmetic & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA L RODGERS (OFFICE MANAGER)
(405) 737-3441
Entity
Organization
Contact information
Practice address
2809 SHADYBROOK DR, MIDWEST CITY, OK 73110-3121
(405) 737-3441
Mailing address
2809 SHADYBROOK DR, MIDWEST CITY, OK 73110-3121
(405) 737-3441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5183
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831134295
TYPE I NPI
OK
Enumeration date
05/06/2008
Last updated
05/06/2008
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