Organization
EASY DENTAL SOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (PRESIDENT)
(405) 474-6362
Entity
Organization
Contact information
Practice address
10001 S PENN AVE STE 22, OKLAHOMA CITY, OK 73159-6923
(405) 252-1508
Mailing address
3901 E COVELL RD, EDMOND, OK 73034-6909
(405) 474-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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