Organization
SMILE GALAXY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRIAN MOLLOY DDS (OWNER)
(405) 692-1222
Entity
Organization
Contact information
Practice address
10001 S PENNSYLVANIA AVE BLDG P, SUITE #130, OKLAHOMA CITY, OK 73159-6923
(405) 759-3724
(405) 759-3728
Mailing address
PO BOX 892290, OKLAHOMA CITY, OK 73189-2290
(405) 759-3724
(405) 759-3728
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
185
OK
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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