Affordable Dentures-Midwest City, P.c.

NPI #1164834701 in Del City, Oklahoma

Provider Information

NPI Number: 1164834701
Entity Type: Organization
Organization Name: Affordable Dentures-Midwest City, P.c.
Primary Specialty: Dentist
Enumeration Date: Jun 2, 2014
Last Updated: Jun 2, 2014

Practice Location

Address: 5301 MAIN STREET
Address 2: SUITE 111
City: Del City
State: Oklahoma
ZIP Code: 73115
Phone: (405) 672-0214

Authorized Official

Name: DR. RICHARD L. FENTEM JR., DDS
Title: OWNER
Phone: (405) 672-0214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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