Organization
NORMAN PERIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT G RENFROW D.D.S., M.S. (PERIODONTIST)
(405) 329-6106
Entity
Organization
Contact information
Practice address
521 MERCHANT DR, NORMAN, OK 73069-6575
(405) 329-6106
Mailing address
521 MERCHANT DR, NORMAN, OK 73069-6575
(405) 329-6106
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5814
OK
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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