Dental Depot Orthodontics Yukon Pllc

NPI #1568885432 in Yukon, Oklahoma

Provider Information

NPI Number
1568885432
Entity Type
Organization
Organization Name
Dental Depot Orthodontics Yukon Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
MT LINCOLN PLLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jan 29, 2014
Last Updated
Jan 11, 2024

Practice Location

Address
701 SHEDECK PKWY
City
Yukon
ZIP Code
73099-6021
Phone
(405) 350-1133

Authorized Official

Name
GAYLON ZISSA
Title
DIRECTOR
Phone
(405) 945-8941

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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