Organization · NPI-2

Affordable Dentures & Implants - Oklahoma, PLLC

Dentist, General Practice · Oklahoma City, OK

NPI number1457533523
StatusActive
Last updated in NPPESNov 6, 2023

Details

NPI
1457533523
Entity type
Organization (NPI-2)
Legal business name
Affordable Dentures & Implants - Oklahoma, PLLC
Organization subpart
No
Enumeration date
Nov 30, 2007
Certification date
Nov 6, 2023
Last updated
Nov 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes
122300000X Dentist3749OK

Practice location

3627 Nw Expressway
Oklahoma City, OK 73112-4405

Phone 405-948-2637

Mailing address

3627 Nw Expressway
Oklahoma City, OK 73112-4405

Phone 405-948-2637

Authorized official

Haley Wooster
Enrollment Specialist
7127338551

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