Ou Childrens Physicians Dental Service-Oucp Dental Service
NPI #1013938117 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1013938117
- Entity Type
- Organization
- Organization Name
- Ou Childrens Physicians Dental Service-Oucp Dental Service
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2006
- Last Updated
- May 16, 2024
Practice Location
- Address
- 1200 CHILDRENS AVE STE 8F
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73104-4637
- Phone
- (405) 271-4750
Authorized Official
- Name
- DR. DAVID ALAN CIESLA, D.D.S., MS
- Title
- PROGRAM DIRECTOR
- Phone
- (405) 271-4750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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