Individual provider · NPI-1

Rand Alzubi

Dentist, General Practice · Shawnee, OK

NPI number1164914255
StatusActive
Last updated in NPPESJun 4, 2018

Details

NPI
1164914255
Entity type
Individual (NPI-1)
Name
Rand Alzubi
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2018
Last updated
Jun 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7029OKYes

Practice location

2616 N Park Ave
Shawnee, OK 74804-2838

Phone 405-924-4882

Mailing address

2616 N Park Ave
Shawnee, OK 74804-2838

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Shawnee, OK