Organization
PURCELL FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD NELSON (OWNER)
(405) 260-6080
Entity
Organization
Contact information
Practice address
425 W TRUMAN PL, PURCELL, OK 73080-3209
(405) 942-4445
Mailing address
5700 SE 89TH ST, OKLAHOMA CITY, OK 73135-6017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
02/05/2024
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