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Organization

F CHARLES GOLDSMITH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERIC CHARLES GOLDSMITH DDS (OWNER)
(405) 682-8705
Entity
Organization

Contact information

Practice address
8383 S PENNSYLVANIA, OKLAHOMA CITY, OK 73159
(405) 682-8705
(405) 682-8710
Mailing address
8383 S PENNSYLVANIA, OKLAHOMA CITY, OK 73159
(405) 682-8705
(405) 682-8710

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4361
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174604847
NPI
OK
Enumeration date
05/22/2008
Last updated
05/22/2008
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