Organization
OU COLLEGE OF DENTISTRY PREDOCTORAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMMY VOGT (REPRESENTATIVE)
(405) 271-8001
Entity
Organization
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-8001
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1067
OK
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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