Organization
UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY R DEWBRE D.D.S. (GRA)
(405) 271-4148
Entity
Organization
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-4148
Mailing address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-4148
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6640
OK
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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