Oklahoma Dental-Broken Arrow
NPI #1497815971 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1497815971
- Entity Type
- Organization
- Organization Name
- Oklahoma Dental-Broken Arrow
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2234 W HOUSTON ST STE A
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-3519
- Phone
- (918) 251-0220
Authorized Official
- Name
- DIANE F CASTEEL
- Title
- INSURANCE COORDINATOR
- Phone
- (405) 840-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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