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Organization

RDC AT 16C, LLC

Active
Parent organization
LANCE R. SCHMIDT, DDS, PC
Other names
Reflections Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANCE R. SCHMIDT, DDS, PC
Authorized official
MRS. CHARLA ARMSTRONG (INSURANCE COORDINATOR)
(405) 751-4556
Entity
Organization

Contact information

Practice address
1108 NW 16TH ST, OKLAHOMA CITY, OK 73106-6001
(405) 751-4556
(405) 751-4558
Mailing address
1108 NW 16TH ST, OKLAHOMA CITY, OK 73106-6001
(405) 751-4556
(405) 751-4558

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200045990A
OK
Enumeration date
04/01/2020
Last updated
04/01/2020
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