Organization · NPI-2

Oklahoma Dental Foundation

Voluntary or Charitable · Oklahoma City, OK

NPI number1720141609
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720141609
Entity type
Organization (NPI-2)
Legal business name
Oklahoma Dental Foundation
Organization subpart
No
Enumeration date
Dec 19, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251V00000X Voluntary or Charitable––Yes

Practice location

317 Ne 13th St
Oklahoma City, OK 73104-2835

Phone 405-848-8873 · Fax 405-848-8875

Mailing address

317 Ne 13th St
Oklahoma City, OK 73104-2835

Phone 405-848-8873 · Fax 405-848-8875

Authorized official

William Goodman
President
4058188873

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