institution
Grand Avenue Dental Studio
Dental Clinic/Center in Chickasha, Oklahoma
NPI 1356047922

Grand Avenue Dental Studio is a Dental Clinic/Center based in Chickasha, OK and is specialized in Dental. Grand Avenue Dental Studio practices in Chickasha, OK. The NPI Number for Grand Avenue Dental Studio is 1356047922 and holds a License No. (Oklahoma).

The current practice location address for Grand Avenue Dental Studio is 720 W Grand Ave, Chickasha, OK and can be reached out via phone at 405-224-1311 and via fax at 405-222-3654. You can also correspond with Grand Avenue Dental Studio through the mailing address at 720 W GRAND AVE, CHICKASHA, OK - 73018-5743 (mailing address contact number: 405-224-1311).

Location: 720 W Grand Ave, Chickasha, OK, 73018-5743
institution
Provider Profile Details
NPI Number
1356047922
Provider Name
Grand Avenue Dental Studio
Credential
Provider Entity Type
Organization
Address
720 W Grand Ave, Chickasha, OK, 73018-5743
Phone Number
405-224-1311
Fax Number
405-222-3654
Provider Enumeration Date
02/06/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14764768 01 OK RICHARD S. DILLON, DDS, PC
institution
Provider Business Practice Location Address Details
Address
720 W Grand Ave
City
State
Zip
73018-5743
Phone Number
405-224-1311
Fax Number
405-222-3654
person
Provider Business Mailing Address Details
Address
720 W Grand Ave
City
State
Zip
73018-5743
Phone Number
405-224-1311
Fax Number
405-222-3654
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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