Dental Group PC

NPI #1043480924 in Pryor, Oklahoma

Provider Information

NPI Number
1043480924
Entity Type
Organization
Organization Name
Dental Group PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 6, 2008
Last Updated
Mar 6, 2008

Practice Location

Address
109 N FAIRLAND ST
Address 2
STE 110
City
Pryor
ZIP Code
74361-4203
Phone
(918) 825-7411

Authorized Official

Name
FREDA JANE ANDERSON
Title
OFFICE MANAGER
Phone
(918) 825-7411

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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