Organization
JAY A. HARLAN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY ALAN HARLAN D.D.S. (PRESIDENT)
(405) 632-9726
Entity
Organization
Contact information
Practice address
8101 S WALKER AVE, SUITE E, OKLAHOMA CITY, OK 73139-9418
(405) 632-9726
(405) 632-9728
Mailing address
8101 S WALKER AVE, SUITE E, OKLAHOMA CITY, OK 73139-9418
(405) 632-9726
(405) 632-9728
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5092
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743750A
—
OK
Enumeration date
08/18/2006
Last updated
07/18/2008
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