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Organization

OKC DENTAL HEALTH ASSOCIATES, P.C.

Active
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.
Other names
Mid-Del Complete Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Authorized official
HANNAH FISH (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization

Contact information

Practice address
1900 S AIR DEPOT BLVD, SUITE 1, MIDWEST CITY, OK 73110-5522
(405) 455-1534
Mailing address
1900 S AIR DEPOT BLVD, SUITE 1, MIDWEST CITY, OK 73110-5522

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/18/2014
Last updated
06/13/2016
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