Organization
OKLAHOMA CENTER FOR IMPLANTS AND PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HENDERSON (PRESIDENT)
(405) 947-0486
Entity
Organization
Contact information
Practice address
9112 N. MAY AVE., OKLAHOMA CITY, OK 73120
(405) 947-0486
(405) 942-4392
Mailing address
9112 N. MAY AVE., OKLAHOMA CITY, OK 73120
(405) 947-0486
(405) 942-4392
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0045
OK
Other
Enumeration date
04/18/2007
Last updated
09/10/2015
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