Crocodile Smiles Children'S Dentistry, PLLC
Dentist, Pediatric Dentistry in Oklahoma City, OK. Organization (NPI-2).
NPI number1710165873
StatusActive
Last updated in NPPESJan 31, 2008
Details
- NPI
- 1710165873
- Entity type
- Organization (NPI-2)
- Legal business name
- Crocodile Smiles Children'S Dentistry, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2008
- Last updated
- Jan 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 073 | OK | Yes |
Practice location
828 Sw 66th StOklahoma City, OK 73139-4213
Phone 405-636-1616
Mailing address
828 Sw 66th StOklahoma City, OK 73139-4213
Authorized official
Elizabeth Kellner
Owner
4056361616
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All 31 Pediatric Dentistry providers in Oklahoma City · All 27,799 providers in Oklahoma City
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