Modern Dental Professionals Oklahoma Oc

NPI #1952698623 in Norman, Oklahoma

Provider Information

NPI Number: 1952698623
Entity Type: Organization
Organization Name: Modern Dental Professionals Oklahoma Oc
Subpart: Yes (part of a larger organization)
Parent Organization: MODERN DENTAL PROFESSIONALS OKLAHOMA PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 1, 2011
Last Updated: Jul 1, 2011

Practice Location

Address: 1732 24TH AVE NW
Address 2: SUITE C-107
City: Norman
State: Oklahoma
ZIP Code: 73069-6397
Phone: (405) 253-2043

Authorized Official

Name: DR. PAUL PEEK
Title: OWNER
Phone: (405) 253-2043

Specialties & Taxonomy Codes

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

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