Dental Depot of Del City, Pllc

NPI #1205512779 in Del City, Oklahoma

Provider Information

NPI Number
1205512779
Entity Type
Organization
Organization Name
Dental Depot of Del City, Pllc
Primary Specialty
Dentist
Enumeration Date
Jun 27, 2023
Last Updated
Jun 27, 2023

Practice Location

Address
5004 SE 29TH ST
ZIP Code
73115-4710
Phone
(405) 477-8123

Authorized Official

Name
GAYLON ZISSA
Title
DIRECTOR OF PROVIDER RELATIONS
Phone
(405) 945-8941

Specialties & Taxonomy Codes

Specialty
Dentist

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