2j Dental Edge of Norman Pllc

NPI #1578036562 in Norman, Oklahoma

Provider Information

NPI Number: 1578036562
Entity Type: Organization
Organization Name: 2j Dental Edge of Norman Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 2, 2019
Last Updated: Jan 2, 2019

Practice Location

Address: 2400 12TH AVE NE STE 140
City: Norman
State: Oklahoma
ZIP Code: 73071-6841
Phone: (405) 310-5285

Authorized Official

Name: JOSHUA BRASHER, DDS
Title: PRESIDENT
Phone: (405) 474-6362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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