Organization
OWASSO PEDIATRIC DENTISTRY, PLLC
Active
Other names
Owasso Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT)
(918) 998-0996
Entity
Organization
Contact information
Practice address
9455 N OWASSO EXPY STE H, OWASSO, OK 74055-5457
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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