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
Authorized Official
- Name
- GAYLON ZISSA
- Title
- DIRECTOR OF PROVIDER RELATIONS
- Phone
- (405) 945-8941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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