Individual
ABDULLAH FAZLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N OKLAHOMA AVE APT 1240, OKLAHOMA CITY, OK 73104-4412
(972) 363-7348
Mailing address
800 N OKLAHOMA AVE APT 1240, OKLAHOMA CITY, OK 73104-4412
(972) 363-7348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7669
OK
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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