Organization
BOARD OF REGENTS UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Active
Parent organization
BOARD OF REGENTS UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Other names
on behalf of Advanced Education in General Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Authorized official
DR. PHOEBE VAUGHAN DDS (DIRECTOR)
(405) 271-5222
Entity
Organization
Contact information
Practice address
1201 N STONEWALL AVE STE 261, OKLAHOMA CITY, OK 73117-1214
(405) 271-5222
(405) 271-3851
Mailing address
PO BOX 26901, ATTN OUCOD-AEGD, OKLAHOMA CITY, OK 73126-0901
(405) 271-5222
(405) 271-3851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3860
OK
Other
Enumeration date
09/09/2008
Last updated
02/03/2017
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