Organization
SPARTAN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN TROCKEL DDS (DOCTOR)
(918) 366-3777
Entity
Organization
Contact information
Practice address
5 W DAWES AVE, BIXBY, OK 74008-4422
(918) 366-3777
Mailing address
5 W DAWES AVE, BIXBY, OK 74008
(918) 366-3777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6717
OK
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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