Organization
PONCA CITY DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRASHER DDS (DENTIST)
(405) 474-6362
Entity
Organization
Contact information
Practice address
1216 E HARTFORD AVE STE 1A, PONCA CITY, OK 74601-2059
(405) 474-6362
Mailing address
1216 E HARTFORD AVE STE 1A, PONCA CITY, OK 74601-2059
(405) 474-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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