Bixby Spartan Dental Pllc

NPI #1467003186 in Bixby, Oklahoma

Provider Information

NPI Number
1467003186
Entity Type
Organization
Organization Name
Bixby Spartan Dental Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 24, 2019
Last Updated
Sep 24, 2019

Practice Location

Address
5 W DAWES AVE
City
Bixby
ZIP Code
74008-4422
Phone
(918) 366-3777

Authorized Official

Name
PRISCILA JELSING, DDS
Title
PRESIDENT
Phone
(918) 743-7444

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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