Organization
RED DIRT ORTHODONTICS PLLC
Active
Other names
Braces U Oklahoma PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KOLTON F ERICKSON DMD MSD (PRESIDENT)
(405) 227-0054
Entity
Organization
Contact information
Practice address
5940 NW EXPRESSWAY # 100, OKLAHOMA CITY, OK 73132-5101
(405) 227-0054
Mailing address
5940 NW EXPRESSWAY # 100, OKLAHOMA CITY, OK 73132-5101
(405) 227-0054
(970) 226-8669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
03/12/2019
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