Organization
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF OKLAHOMA, PC
Other names
Little River Dental Care
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
711 SW 19TH ST STE 100, MOORE, OK 73160-2966
(405) 913-7622
Mailing address
711 SW 19TH ST STE 100, MOORE, OK 73160-2966
(405) 913-7622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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