Shawnee Dentistry and Braces

NPI #1316432438 in Shawnee, Oklahoma

Provider Information

NPI Number
1316432438
Entity Type
Organization
Organization Name
Shawnee Dentistry and Braces
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 1, 2018
Last Updated
Feb 5, 2024

Practice Location

Address
2616 N PARK AVE
ZIP Code
74804-2838
Phone
(405) 275-7730

Authorized Official

Name
MR. BRAD NELSON
Title
OWNER
Phone
(405) 260-6080

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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