Coweta Family Dental

NPI #1225476716 in Coweta, Oklahoma

Provider Information

NPI Number: 1225476716
Entity Type: Organization
Organization Name: Coweta Family Dental
Primary Specialty: Dentist
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 129 S BROADWAY
City: Coweta
State: Oklahoma
ZIP Code: 74429-4101
Phone: (918) 279-8880

Authorized Official

Name: MS. CHRISTIE WARLICK, MS
Title: OFFICE MANAGER
Phone: (918) 289-9405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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