Organization
JEMIMA POITEVIEN, D.D.S., P.L.L.C.
Active
Parent organization
JEMIMA POITEVIEN, D.D.S.
Other names
Children's Dental Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEMIMA POITEVIEN, D.D.S.
Authorized official
DR. JEMIMA POITEVIEN D.D.S. (OWNER)
(405) 923-8289
Entity
Organization
Contact information
Practice address
4225 W MEMORIAL RD STE 101-B, OKLAHOMA CITY, OK 73134-1761
(405) 923-8289
Mailing address
PO BOX 21224, OKLAHOMA CITY, OK 73156-1224
(405) 923-8289
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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