Organization
SAFARI DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKITA J MENSER (BUSINESS MANAGER)
(405) 737-5445
Entity
Organization
Contact information
Practice address
2809 SHADYBROOK DR, MIDWEST CITY, OK 73110-3121
(405) 737-3441
(405) 737-5445
Mailing address
2809 SHADYBROOK DR, MIDWEST CITY, OK 73110-3121
(405) 737-3441
(405) 737-5445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5183
OK
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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