Organization
JULIE J STORM DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JO STORM D.M.D. (PRESIDENT)
(405) 737-0404
Entity
Organization
Contact information
Practice address
1342 S DOUGLAS BLVD, STE B, MIDWEST CITY, OK 73130-5248
(405) 737-0404
Mailing address
1342 S DOUGLAS BLVD, STE B, MIDWEST CITY, OK 73130-5248
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
6242
OK
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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