Dental Depot of Owasso, Pllc

NPI #1881441699 in Owasso, Oklahoma

Provider Information

NPI Number
1881441699
Entity Type
Organization
Organization Name
Dental Depot of Owasso, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 1, 2024
Last Updated
May 1, 2024

Practice Location

Address
8722 N GARNETT ROAD
City
Owasso
ZIP Code
74055
Phone
(918) 973-7123

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - General PracticeGeneral Practice

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