Dental Arts of Locust Grove, LLC
NPI #1083499123 in Locust Grove, Oklahoma
Provider Information
- NPI Number
- 1083499123
- Entity Type
- Organization
- Organization Name
- Dental Arts of Locust Grove, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Aug 28, 2023
Practice Location
- Address
- 409 E MAIN ST
- City
- Locust Grove
- State
- Oklahoma
- ZIP Code
- 74352-5116
- Phone
- (918) 888-5055
Authorized Official
- Name
- SOREN MICHAELSEN, DDS
- Title
- OWNER
- Phone
- (405) 593-9596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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