institution
Pediatric Dental Group Ii, Llc
Dental Clinic/Center in Midwest City, Oklahoma
NPI 1912553215

Pediatric Dental Group Ii, Llc is a Dental Clinic/Center based in Colorado Springs, OK and is specialized in Dental. Pediatric Dental Group Ii, Llc practices in Midwest City, OK. The NPI Number for Pediatric Dental Group Ii, Llc is 1912553215 and holds a License No. (Oklahoma).

The current practice location address for Pediatric Dental Group Ii, Llc is 1200 S Air Depot Blvd, Midwest City, OK and can be reached out via phone at 918-872-7009.

Location: 1200 S Air Depot Blvd, Midwest City, OK, 80909-8009
institution
Provider Profile Details
NPI Number
1912553215
Provider Name
Pediatric Dental Group Ii, Llc
Credential
Provider Entity Type
Organization
Address
1200 S Air Depot Blvd, Midwest City, OK, 80909-8009
Phone Number
918-872-7009
Fax Number
Provider Enumeration Date
08/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3942 01 OK OK STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 S Air Depot Blvd
City
State
Zip
73110-4866
Phone Number
918-872-7009
Fax Number
person
Provider Business Mailing Address Details
Address
1200 S Air Depot Blvd
City
State
Zip
73110-4866
Phone Number
918-872-7009
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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