Organization
BERKSHIRE DENTAL GROUP PLC
Active
Parent organization
BERKSHIRE DENTAL GROUP PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERKSHIRE DENTAL GROUP PLC
Authorized official
WESLEY MARK HODGE DMD (PRESIDENT)
(918) 250-9528
Entity
Organization
Contact information
Practice address
8701 S GARNETT RD, BROKEN ARROW, OK 74012
(918) 250-9528
(918) 250-9529
Mailing address
8701 S GARNETT RD, BROKEN ARROW, OK 74012
(918) 250-9528
(918) 250-9529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4156
OK
1223G0001X
General Practice Dentistry
4301
OK
1223G0001X
General Practice Dentistry
Primary
4660
OK
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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