institution
Dental Depot Of 63rd & Nw Expressway, Pllc
Dental Clinic/Center in Oklahoma City, Oklahoma
NPI 1861058877

Dental Depot Of 63rd & Nw Expressway, Pllc is a Dental Clinic/Center based in Oklahoma City, OK and is specialized in Dental. Dental Depot Of 63rd & Nw Expressway, Pllc practices in Oklahoma City, OK. The NPI Number for Dental Depot Of 63rd & Nw Expressway, Pllc is 1861058877 and holds a License No. (Oklahoma).

The current practice location address for Dental Depot Of 63rd & Nw Expressway, Pllc is 4025 Nw 63Rd Street, Oklahoma City, OK and can be reached out via phone at 405-591-3123 and via fax at 405-653-1714.

Location: 4025 Nw 63Rd Street, Oklahoma City, OK, 73112-7404
institution
Provider Profile Details
NPI Number
1861058877
Provider Name
Dental Depot Of 63rd & Nw Expressway, Pllc
Credential
Provider Entity Type
Organization
Address
4025 Nw 63Rd Street, Oklahoma City, OK, 73112-7404
Phone Number
405-591-3123
Fax Number
405-653-1714
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100088170A 05 OK
institution
Provider Business Practice Location Address Details
Address
4025 Nw 63Rd Street
City
State
Zip
73116
Phone Number
405-591-3123
Fax Number
405-653-1714
person
Provider Business Mailing Address Details
Address
4025 Nw 63Rd Street
City
State
Zip
73116
Phone Number
405-591-3123
Fax Number
405-653-1714
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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