Organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER
Other names
College of Dentistry Student Clinics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER
Authorized official
LISA ASCH (ASSOCIATE DIRECTOR RESEARCH ADMIN)
(405) 271-2090
Entity
Organization
Contact information
Practice address
1201 N STONEWALL AVE RM 265, OKLAHOMA CITY, OK 73117-1214
(405) 271-4711
(405) 271-2922
Mailing address
1000 STANTON L YOUNG BLVD # 121, OKLAHOMA CITY, OK 73117-1208
(405) 271-2090
(405) 271-8655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749420A
—
OK
Enumeration date
01/07/2007
Last updated
08/30/2011
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