Brent T. Amaya D.d.s. P.l.l.c.
NPI #1366787699 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1366787699
- Entity Type
- Organization
- Organization Name
- Brent T. Amaya D.d.s. P.l.l.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 27, 2012
- Last Updated
- Jan 30, 2014
Practice Location
- Address
- 1991 S DOUGLAS BLVD
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-6225
- Phone
- (405) 737-6622
Authorized Official
- Name
- DR. BRENT THOMAS AMAYA, D.D.S.
- Title
- DENTIST
- Phone
- (405) 737-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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