Broken Arrow Dental and Implants, LLC
NPI #1568123438 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1568123438
- Entity Type
- Organization
- Organization Name
- Broken Arrow Dental and Implants, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Feb 5, 2024
Practice Location
- Address
- 2109 W WASHINGTON ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6801
- Phone
- (918) 455-0123
Authorized Official
- Name
- BRAD NELSON
- Title
- OWNER
- Phone
- (405) 260-6080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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