Organization
DREW ENDICOTT DDS AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW D ENDICOTT DDS (OWNER)
(417) 483-1746
Entity
Organization
Contact information
Practice address
3300 S ASPEN AVE STE A, BROKEN ARROW, OK 74012
(918) 251-0211
Mailing address
3300 S ASPEN AVE STE A, BROKEN ARROW, OK 74012
(918) 251-0211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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