Organization
ORR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD E ORR D.D.S. (CO-OWNER)
(580) 584-3403
Entity
Organization
Contact information
Practice address
1509 S PARK DR, BROKEN BOW, OK 74728-5722
(580) 584-3403
Mailing address
1509 S PARK DR, BROKEN BOW, OK 74728-5722
(580) 584-3403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5122
OK
1223G0001X
General Practice Dentistry
5140
OK
Other
Enumeration date
07/29/2006
Last updated
08/22/2020
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