Organization
MCLOUD DENTAL CENTER P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELEEN MICHELE AMAYA (OFFICE MANAGER)
(405) 315-9066
Entity
Organization
Contact information
Practice address
806 SOUTH 8TH STREET, MCLOUD, OK 74851
(405) 315-9066
Mailing address
1991 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-6225
(405) 737-6622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6273
OK
Other
Enumeration date
06/11/2014
Last updated
11/16/2015
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