Organization
WISDOM TOOTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S SMITH DDS (PARTNER)
(405) 271-4955
Entity
Organization
Contact information
Practice address
2745 S I 35 SERVICE RD, MOORE, OK 73160-2715
(405) 271-4955
Mailing address
2745 S I 35 SERVICE RD, MOORE, OK 73160-2715
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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