Organization
ENDODONTIC PRACTICE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY A SULLIVAN III (OFFICE MANAGER)
(405) 329-7936
Entity
Organization
Contact information
Practice address
707 24TH AVE SW, SUITE 100, NORMAN, OK 73069-3987
(405) 329-7936
(405) 329-1722
Mailing address
707 24TH AVE SW, SUITE 100, NORMAN, OK 73069-3987
(405) 329-7936
(405) 329-1722
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
P-25
OK
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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