Organization
IDENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBY RHODES DDS (DENTIST)
(405) 830-7988
Entity
Organization
Contact information
Practice address
1700 S SUNNYLANE RD, OKLAHOMA CITY, OK 73115-3118
(405) 670-5000
(405) 670-5001
Mailing address
1700 S SUNNYLANE RD, OKLAHOMA CITY, OK 73115-3118
(405) 670-5000
(405) 670-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6138
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200252070A
—
OK
Enumeration date
07/13/2016
Last updated
07/13/2016
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