Boomer Family Dentistry, Pllc

NPI #1407252117 in Norman, Oklahoma

Provider Information

NPI Number: 1407252117
Entity Type: Organization
Organization Name: Boomer Family Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 801 24TH AVE NW
City: Norman
State: Oklahoma
ZIP Code: 73069-6313
Phone: (405) 360-9117

Authorized Official

Name: PATTI KLEIN
Title: OFFICE MANAGER
Phone: (405) 360-9117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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