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Dr. Greg Brasher, DDS

Dentist in Edmond, OK. Individual provider (NPI-1).

NPI number1073732012
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1073732012
Entity type
Individual (NPI-1)
Name
Dr. Greg Brasher
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 25, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist4913OKOKYes

Practice location

1333 E Danforth Rd
Edmond, OK 73034-3201

Phone 405-359-9696

Mailing address

1333 E Danforth Rd
Edmond, OK 73034-3201

Phone 405-359-9696

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