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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.

Location: 720 W Grand Ave, Chickasha, OK, 73018-5743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Chickasha
State
Oklahoma
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
Chickasha
State
Oklahoma
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
261QD0000X
License No.
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Definition
Definition to come...
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