Organization
DR CHRISTIAN H PILGRIM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN H PILGRIM DDS. (OWNER / DENTIST)
(405) 691-0836
Entity
Organization
Contact information
Practice address
717 SW 119TH ST, OKLAHOMA CITY, OK 73170
(405) 691-0836
(405) 691-0480
Mailing address
717 SW 119TH ST, OKLAHOMA CITY, OK 73170
(405) 691-0836
(405) 691-0480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5554
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1309163
UNITED CONCORDIA
—
Enumeration date
03/07/2006
Last updated
04/16/2013
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