Happy Tooth Dental Group of Skiatook P.c.

NPI #1821322660 in Skiatook, Oklahoma

Provider Information

NPI Number
1821322660
Entity Type
Organization
Organization Name
Happy Tooth Dental Group of Skiatook P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 28, 2009
Last Updated
Sep 28, 2009

Practice Location

Address
5265 W ROGERS BLVD STE C
ZIP Code
74070-5200
Phone
(918) 396-7766

Authorized Official

Name
DR. JONAH R.B. VANDIVER, D.D.S.
Title
OWNER
Phone
(918) 396-7766

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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