Pediatric Dental Associates PC

NPI #1447328349 in Ardmore, Oklahoma

Provider Information

NPI Number: 1447328349
Entity Type: Organization
Organization Name: Pediatric Dental Associates PC
Primary Specialty: Dentist
Enumeration Date: Dec 1, 2006
Last Updated: Jun 28, 2013

Practice Location

Address: 1103 WALNUT DRIVE
Address 2: PEDIATRIC DENTAL ASSOCIATES PC
City: Ardmore
State: Oklahoma
ZIP Code: 73401
Phone: (580) 226-6290

Authorized Official

Name: DR. EUGENE A LITTEKEN, DDS
Title: PRESIDENT
Phone: (580) 226-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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