Organization
HERITAGE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIE E. ABOU-NASSAR DDS (OWNER)
(405) 310-3111
Entity
Organization
Contact information
Practice address
3600 W TECUMSEH RD, NORMAN, OK 73072
(405) 310-3111
Mailing address
3600 W TECUMSEH RD, NORMAN, OK 73072-1840
(405) 701-3111
(405) 701-2524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6017
OK
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/19/2016
Last updated
03/13/2024
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