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Organization

MODERN DENTAL PROFESSIONALS OKLAHOMA OC

Active
Parent organization
MODERN DENTAL PROFESSIONALS OKLAHOMA PC
Other names
Monarch Dental - Norman
Organization subpart
Yes

Provider details

NPI number
Legal business name
MODERN DENTAL PROFESSIONALS OKLAHOMA PC
Authorized official
DR. PAUL PEEK (OWNER)
(405) 253-2043
Entity
Organization

Contact information

Practice address
1732 24TH AVE NW, SUITE C-107, NORMAN, OK 73069-6397
(405) 253-2043
(405) 579-2060
Mailing address
1732 24TH AVE NW, SUITE C-107, NORMAN, OK 73069-6397
(405) 253-2043
(405) 579-2060

Taxonomy

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

Other

Enumeration date
07/01/2011
Last updated
07/01/2011
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