Pkl Orthodontics, PC

NPI #1104206887 in Moore, Oklahoma

Provider Information

NPI Number: 1104206887
Entity Type: Organization
Organization Name: Pkl Orthodontics, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 8, 2015
Last Updated: Jun 8, 2015

Practice Location

Address: 717 S I 35 SERVICE RD STE C
City: Moore
State: Oklahoma
ZIP Code: 73160-3190
Phone: (405) 378-4774

Authorized Official

Name: DR. PRISCILLA PICKENS-LARSON, DMD
Title: OWNER/ ORTHODONTIST
Phone: (405) 378-4774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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