University Family Dentistry Pllc

NPI #1902371958 in Shawnee, Oklahoma

Provider Information

NPI Number
1902371958
Entity Type
Organization
Organization Name
University Family Dentistry Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 5, 2018
Last Updated
Oct 5, 2018

Practice Location

Address
20 E DUNLOUP RD STE A
ZIP Code
74804-3201
Phone
(405) 275-3210

Authorized Official

Name
MACK TIMOTHY RUDD, DDS
Title
OWNER
Phone
(405) 844-6333

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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