Dental Implant Centre'

NPI #1114192945 in Ardmore, Oklahoma

Provider Information

NPI Number: 1114192945
Entity Type: Organization
Organization Name: Dental Implant Centre'
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2008
Last Updated: Apr 23, 2008

Practice Location

Address: 2401 N COMMERCE ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1280
Phone: (580) 226-0410

Authorized Official

Name: DR. RONALD ALAN BULARD, DDS
Title: OWNER
Phone: (580) 226-0410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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