Organization
ORAL AND MAXILLOFACIAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE DODGE (ADMINISTRATIVE DIRECTOR)
(405) 848-7994
Entity
Organization
Contact information
Practice address
3727 NW 63RD ST, SUITE 300, OKLAHOMA CITY, OK 73116-1931
(405) 848-7994
(405) 848-8020
Mailing address
3727 NW 63RD ST, SUITE 300, OKLAHOMA CITY, OK 73116-1931
(405) 848-7994
(405) 848-8020
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
OK
Other
Enumeration date
10/19/2006
Last updated
01/08/2008
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