Organization
FAIRFAX DENTAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZANE GREY MILLS DDS (DENTIST)
(918) 642-3400
Entity
Organization
Contact information
Practice address
158 N 2ND ST, FAIRFAX, OK 74637
(918) 642-3400
Mailing address
158 N 2ND ST, FAIRFAX, OK 74637
(918) 642-3400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
11/26/2024
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