Organization
DYNAMIC DENTAL CENTER
Active
Organization
DYNAMIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA BRUCE DDS (OWNER)
(405) 269-6921
Entity
Organization
Contact information
Practice address
3000 SW 104TH ST STE 5, OKLAHOMA CITY, OK 73159-7041
(405) 703-7070
Mailing address
3000 SW 104TH ST STE 5, OKLAHOMA CITY, OK 73159-7041
(405) 703-7070
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
198
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6185
OK
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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