Easy Dental Solutions IV

NPI #1962865949 in Mustang, Oklahoma

Provider Information

NPI Number: 1962865949
Entity Type: Organization
Organization Name: Easy Dental Solutions IV
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 29, 2016
Last Updated: Mar 29, 2016

Practice Location

Address: 1100 N MUSTANG RD
City: Mustang
State: Oklahoma
ZIP Code: 73064-7201
Phone: (405) 376-6565

Authorized Official

Name: BOBBY LONG
Title: DIRECTOR OF BUSINESS OPERATIONS
Phone: (405) 376-6565

Specialties & Taxonomy Codes

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

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