Organization
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Other names
Moore Complete Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
138 SW 134TH ST STE C, OKLAHOMA CITY, OK 73170-1490
(405) 378-5692
(405) 759-2754
Mailing address
138 SW 134TH ST STE C, OKLAHOMA CITY, OK 73170-1490
(405) 378-5692
(405) 759-2754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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