Dental Depot Mid West City
NPI #1245434166 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1245434166
- Entity Type
- Organization
- Organization Name
- Dental Depot Mid West City
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 5691 TINKER DIAGONAL
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110
- Phone
- (405) 737-5123
Authorized Official
- Name
- BETH GRANT
- Title
- OFFICE MANAGER
- Phone
- (405) 737-5123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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