Organization
BERRY ROAD DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (PRESIDENT)
(405) 474-6362
Entity
Organization
Contact information
Practice address
635 N BERRY RD, NORMAN, OK 73069-7541
(405) 329-7950
Mailing address
3901 E COVELL RD, EDMOND, OK 73034
(405) 474-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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