Dental Depot Orthodontics Del City, Pllc

NPI #1659157691 in Del City, Oklahoma

Provider Information

NPI Number
1659157691
Entity Type
Organization
Organization Name
Dental Depot Orthodontics Del City, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 6, 2023
Last Updated
Sep 6, 2023

Practice Location

Address
5004 SE 29TH ST STE B
ZIP Code
73115-4710
Phone
(405) 900-8939

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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