Canadian Valley Dentistry Pllc

NPI #1720437296 in El Reno, Oklahoma

Provider Information

NPI Number: 1720437296
Entity Type: Organization
Organization Name: Canadian Valley Dentistry Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 6, 2016
Last Updated: Jul 12, 2021

Practice Location

Address: 705 EAGLE CIRCLE
City: El Reno
State: Oklahoma
ZIP Code: 73036-2150
Phone: (405) 262-6677

Authorized Official

Name: DR. RAY DEAN TATE, D.D.S.
Title: DENTIST
Phone: (405) 262-6677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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