Organization
FRAZEE ORTHODONTICS PLLC
Active
Other names
Clubhouse Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK FRAZEE DDS, MS (OWNER/ORTHODONTIST)
(405) 308-5164
Entity
Organization
Contact information
Practice address
3181 N SOONER RD, EDMOND, OK 73034-8333
(405) 308-5164
Mailing address
2941 ROLLING STONE RD, OKLAHOMA CITY, OK 73120-1921
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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