Individual
DR. JOSEPH GHAZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2319 N 9TH ST, BROKEN ARROW, OK 74012-2850
(918) 771-7164
Mailing address
600 S MAGNOLIA AVE, BROKEN ARROW, OK 74012-3250
(918) 706-3437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7367
OK
Other
Enumeration date
07/27/2020
Last updated
08/24/2021
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