Ok Specialty Dental Services, Pllc

NPI #1831914464 in Yukon, Oklahoma

Provider Information

NPI Number
1831914464
Entity Type
Organization
Organization Name
Ok Specialty Dental Services, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
OK SPECIALTY DENTAL SERVICES, PLLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Nov 19, 2024
Last Updated
Nov 19, 2024

Practice Location

Address
1600 GARTH BROOKS BLVD STE 155
City
Yukon
ZIP Code
73099-7412
Phone
(405) 227-0054

Authorized Official

Name
CHARLOTTE DASCH
Title
DIRECTOR OF CRED AND PROV REL
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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