Mustang Family Dental

NPI #1902276025 in Mustang, Oklahoma

Provider Information

NPI Number: 1902276025
Entity Type: Organization
Organization Name: Mustang Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 1, 2015
Last Updated: Nov 9, 2020

Practice Location

Address: 1444 N MUSTANG RD
City: Mustang
State: Oklahoma
ZIP Code: 73064-7214
Phone: (405) 376-3320

Authorized Official

Name: CALLIE D BOUZIDEN
Title: DENTIST/OWNER
Phone: (405) 376-3320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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