Edmond Dental Associates Pllc

NPI #1407838113 in Edmond, Oklahoma

Provider Information

NPI Number: 1407838113
Entity Type: Organization
Organization Name: Edmond Dental Associates Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 17, 2005
Last Updated: Dec 30, 2009

Practice Location

Address: 950 MEDICAL PARK BLVD
City: Edmond
State: Oklahoma
ZIP Code: 73013-3024
Phone: (405) 341-8804

Authorized Official

Name: DR. V. RALPH WILLCOX, DDS
Title: OWNER, DENTIST
Phone: (405) 341-8804

Specialties & Taxonomy Codes

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

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