Organization
ADA FAMILY DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DEAN BRATTON D.D.S. (PRESIDENT)
(580) 272-9600
Entity
Organization
Contact information
Practice address
500 N MONTE VISTA ST STE 1, ADA, OK 74820-4670
(580) 272-9600
Mailing address
500 N MONTE VISTA ST STE 1, ADA, OK 74820-4670
(580) 272-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5840
OK
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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